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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
*
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, Max. file size: 1 MB.
Photograph
*
Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
Specimen Signature
*
Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
Registration Certificate (both side)
*
Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
Diploma / Degree
*
Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
Renewal Card
*
Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
Fee receipt (UPI/UTR/Transaction/Account No)
*
Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
Note: Please send the following to the council office via Speed Post: A4 size stamped envelope (as per value), 2 passport size photographs, copies of original Pharmacist Registration Certificate and Renewal Card.
In addition to the renewal fees, please pay Rs 100 for the form and submit receipt.
(नोट: काउन्सिल कार्यालय में अपना फार्मेसिस्ट पंजीकरण प्रमाण पत्र एवं रिन्यूअल कार्ड की मूल प्रति के साथ A4 साइज स्पीड पोस्ट (मूल्य के बराबर) टिकट लगा लिफाफा व 2 पासपोर्ट साइज फोटो स्पीड पोस्ट के माध्यम से प्रेषित करे।
रिन्यूअल फीस के आलावा फॉर्म फीस 100 Rs. अलग से जमा कर उसकी प्रति भी संलग्न करें।)
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.
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