Get Au Hps-00-0643 2018-2025

The AU HPS-00-0643 form is essential for community pharmacy license applications in Australia. This guide will provide you with step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the AU HPS-00-0643 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin with Section 1 - Complying Pharmacy Corporation Details. Provide the company name and the Australian Company Number (ACN). You must also attach the current extract from the Australian Securities and Investment Commission (ASIC) showing directors and shareholders.
3. Input the registered company address, including the property name, unit, flat number, street number, street name, city, suburb, town, state, territory, and postcode.
4. Under the required information section, ensure to confirm that you have attached a copy of the current ASIC company extract outlining directors and shareholders for the pharmacy corporation by selecting 'Yes'.
5. Complete the Company Declaration by signing your name, providing the date, and stating your position title.
6. Proceed to Section 2 - Director Details. List the names and pharmacist registration numbers for up to six directors. Ensure that each director is a pharmacist.
7. Move to Section 3 - Shareholder Details. Provide the names and either the pharmacist registration numbers or the relationship to the pharmacist for up to six shareholders.
8. If applicable, complete Section 4 - Trust Beneficiary Details. List the names, pharmacist registration numbers, or relationships to pharmacists for up to six trustees.
9. After filling in all sections of the form, review the information for accuracy.
10. You can now save the changes you made, download, print, or share the completed form as necessary.

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