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Form - 'K'
Application for Renewal of Registration
Rules 6 (2) of the Registration Rules
Name of Applicant
*
Father’s/Husband’s Name
*
Address (As Per Registration)
*
Registration No
*
Mobile Number
*
Email
*
Aadhar Number
*
Registration Expire on
*
Date Format: MM slash DD slash YYYY
Registration with requisite fee @ Rs. 100/- per year for 5 years
*
5 years
Professional work Address
*
Documents need to be upload
(max size-1MB file types-pdf, jpg, docx)
Aadhar Card (mandatory)
*
Accepted file types: jpg, pdf, docx.
Intermediate Marksheet & Certificate
*
Accepted file types: jpg, pdf, docx.
Photograph
*
Accepted file types: jpg, pdf, docx.
Specimen Signature
*
Accepted file types: jpg, pdf, docx.
Registration Certificate (both side)
*
Accepted file types: jpg, pdf, docx.
Diploma / Degree
*
Accepted file types: jpg, pdf, docx.
Renewal Card
*
Accepted file types: jpg, pdf, docx.
Fee receipt (UPI/UTR/Transaction/Account No)
*
Accepted file types: jpg, pdf, docx.
Note: At the time of verification of original documents in the council office, also submit the original copy of your Pharmacist registration certificate and renewal card along with A4 size envelope with pasted speed post stamp (current charges).
(नोट: काउन्सिल कार्यालय में मूल दस्तावेजों के सत्यापन के समय अपने फार्मेसिस्ट पंजीकरण प्रमाण पत्र एवं रिन्यूअल कार्ड की मूल प्रति के साथ A4 साइज के स्पीड पोस्ट (मूल्य के बराबर) टिकट लगे हुए लिफाफे भी जमा करायें ।)
Note: Please take a prior appointment with the Council before visiting the office to submit all documents.
(नोट: काउन्सिल से अनुमति लेने के पश्चात् ही मूल दस्तावेजों के सत्यापन के लिए काउन्सिल में उपस्थित हों ।)
Registration Renewal fee:
SEE MORE
For online payment -
Account Holder - Uttarakhand Pharmacy Council
Bank - State Bank of India
A/c No. - 36821630863
IFSC - SBIN007893
*
I hereby confirm that the above information is correct. I undertake to provide the originals of any of the documents mentioned above should they be required by UKPC. I accept that UKPC Rules and Regulations stipulated here may be subject to change.
