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    Jazy Mai Lik PDF

    Uploaded by

    SalmanMaan
    1. The document is an application form for registration as a pharmacy technician with the Punjab Pharmacy Council in Lahore, Pakistan. 2. It requests information such as the applicant's name, address, qualifications, identification details, and payment of registration fees. 3. The applicant must submit documents including photographs, certificate copies, signature specimens, identity card copies, and an affidavit with the completed application form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Jazy Mai Lik PDF

    Uploaded by

    SalmanMaan
    283 views2 pages
    1. The document is an application form for registration as a pharmacy technician with the Punjab Pharmacy Council in Lahore, Pakistan. 2. It requests information such as the applicant's name, address, qualifications, identification details, and payment of registration fees. 3. The applicant must submit documents including photographs, certificate copies, signature specimens, identity card copies, and an affidavit with the completed application form.

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    1. The document is an application form for registration as a pharmacy technician with the Punjab Pharmacy Council in Lahore, Pakistan. 2. It requests information such as the applicant's name, address, qualifications, identification details, and payment of registration fees. 3. The applicant must submit documents including photographs, certificate copies, signature specimens, identity card copies, and an affidavit with the completed application form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    283 views2 pages

    Jazy Mai Lik PDF

    Uploaded by

    SalmanMaan
    1. The document is an application form for registration as a pharmacy technician with the Punjab Pharmacy Council in Lahore, Pakistan. 2. It requests information such as the applicant's name, address, qualifications, identification details, and payment of registration fees. 3. The applicant must submit documents including photographs, certificate copies, signature specimens, identity card copies, and an affidavit with the completed application form.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
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    PUNJAB PHARMACY COUNCIL, LAHORE

    (Established under Pharmacy Act, 1967)


    Block No.7, LDA Flats, Huma Block, Allama Iqbal Town, Lahore. Ph. # 042-99260298

    Attested
    Photograph to
    be Pasted by
    the Applicant
    size 4 x 5 cm

    Application Form for Registration as Pharmacy Technician in Register-B

    1. Name (Block Letters) ____________________________________________________


    2. Fathers Name: _________________________________________________________
    3. Permanent Address: _____________________________________________________
    ______________________________________________________________________
    4. Postal Address: _________________________________________________________
    ______________________________________________________________________
    5. Qualification____________________________________________________________
    6. Roll No._________________ Session ____________________ Held in_____________
    7. From the Institute _______________________________________________________
    8. Date of Birth _________________________ Place of Birth _______________________
    9. National Identity Card No. ________________________ Nationality________________
    10. e-mail address. ____________________________ Phone No. ___________________
    11. Mark of Identification _____________________________________________________
    12. The prescribed Fee of Rs. _____________________________ has been remitted by
    Bank Draft/Pay Order No. ___________________________ Dated: _______________
    Receipt No. ___________________________________ Dated: __________________
    Signature of Applicant
    Fee in Cash
    English _______________________________
    Not Accepted
    Dated: _____________________ Urdu _________________________________
    Following documents must be submitted/attached with the application form:

    1. 4 Photographs (size 4 cm x 5 cm) attested by the Principal/Director of the Institute


    concerned.
    2. 2 Photostat Copies of Diploma Certificate attested by the Principal/Director
    concerned.
    3. 2 Specimen Signatures duly attested by the Principal/Director of the Institute
    concerned.
    4. 2 Photocopies of National Identity Card attested by the Principal/Director.
    5. 2 Photostat Copies of I and II Year Result Card attested by the Principal/Director
    concerned.
    6. Affidavit as per specimen given overleaf on Non-Judicial paper of Rs. 50 duly attested
    by Oath Commissioner / Gazetted Officer.
    7. Character Certificate.
    8. Attested Photocopies of Matric and F.Sc, if any.
    9. Pay Order/Bank Draft for Registration Fee in the name of Secretary, Punjab Pharmacy
    Council, Rs. 2000/-.
    10. Bank Draft for verification fee for matric in the name of concerned board
    AFFIDAVIT
    I,_____________________________________ S/o ______________________________
    Caste__________________ Resident of _______________________________________
    Tehsil _________________ District ________________________________ do hereby
    solemnly affir m and declare as under:-

    1. I passed Diploma/Pharmacy Technician, Examination in the Year ___________


    Roll No._________________ from the Institute __________________________.

    2. That the Institute ____________________ issued my Diploma Certificate vide


    No._____________________________________ which is genuine one.

    3. That my National Identity Card No.____________________________________.

    4. That I have never been granted Registration Certificate by any of the Provincial Pharmacy
    Council in Pakistan. Neither I have applied for the same elsewhere.

    5. That I have never been convicted by any Court of Law for an offence involving Moral
    Turpitude.

    6. That I have never been declared unsound mind by any Court of Law.

    That as stated above is true to the best of my knowledge and belief.

    VERIFICATION DEPONENT

    Verified on oath this _____________________________


    Day of ____________________ at _________________
    That the contents of this affidavit are true to the best of my
    Knowledge and belief and nothing have been concealed.

    DEPONENT

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