Get Amendment Form For Dispensing Licence - National Department Of...

Filling out the Amendment Form for Dispensing Licence can be a straightforward process. This guide will provide you with clear, step-by-step instructions to help ensure your application is completed correctly and efficiently.

Follow the steps to complete the Amendment Form for Dispensing Licence online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your personal details in Section A, including your name, ID number, title, council registration number, and dispensing licence number. Make sure to supply the required identity verification copies.
3. Select the application category by marking the appropriate box with an X. Choose among options like additional premises, relocation of premises, cancellation of existing licence, or other.
4. Provide the physical address of your main licensed premises and the additional or relocation premises, if applicable.
5. List your business phone number, applicant cell number, business fax number, and email address for contact purposes.
6. Clearly state your reason for amendment in the specified area of the form.
7. Complete the checklist of attached documents, marking with an X for those you have included, such as a certified copy of your identity document and current dispensing licence.
8. In the declaration section, write your name where indicated, sign, and date the form to confirm the truthfulness of the information provided.
9. If you are a nurse, fill out Section B with details such as your name, ID number, and SANC number, including the name of the clinic or facility you are associated with.
10. Once all information is filled out correctly and documents are attached, save your changes, and either download or print the form for submission.

Complete your documents online to ensure a smooth application process.