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Get Declaration By Registered Pharmacist / Qualified Person
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How to fill out the DECLARATION BY REGISTERED PHARMACIST / QUALIFIED PERSON online
This guide will provide you with clear instructions on how to complete the DECLARATION BY REGISTERED PHARMACIST / QUALIFIED PERSON form online. Following these steps will ensure that your declaration is accurately submitted and compliant with relevant regulations.
Follow the steps to fill out the form correctly.
- Press the ‘Get Form’ button to acquire the form and open it in your preferred online document editor.
- Begin by entering your full name in the designated section, replacing the placeholder with your information. Be sure to follow the format suggested (e.g., Son/Daughter of...).
- Provide your current residential address where indicated. Ensure that the information is complete and accurate.
- Fill in your status as a Registered Pharmacist or Qualified Person, including your registration number and the date of registration. Remember to mention the renewal date as well.
- Specify your position within the entity (e.g., Proprietor, Partner, Director, Employee) and provide the name of the establishment. Include the full address where the entity is located.
- State your responsibility to supervise the sale of drugs at the specified premises and affirm your accountability for maintaining all necessary records as required by the Drugs and Cosmetics Rules 1945.
- If applicable, outline the procedure for resigning from your role at the establishment, detailing the need to inform relevant authorities and management at least one month in advance.
- Complete the section regarding any previous affiliations with licenses, including relevant names, addresses, and termination dates.
- List the firms you have worked with as a Registered Pharmacist or Qualified Person over the last ten years, indicating the dates of your employment.
- Sign and date the document in the relevant fields at the end of the form.
- Ensure all sections are completed accurately, then save changes to the document, and download or print it for submission.
Begin filling out your DECLARATION BY REGISTERED PHARMACIST / QUALIFIED PERSON form online today.
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