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  • Form - 'G'

    FORM OF APPLICATION FOR TRANSFER BASES REGISTRATION AS A PHARMACIST

    UNDER SECTION 32(2) OF THE PHARMACY ACT, 1948

  • MM slash DD slash YYYY

  • Qualification Description for which registration is required

  • High School

  • Intermediate

  • D.Pharm

  • B.Pharm

  • M.Pharm

  • Pharm D


  • Registered in State Pharmacy Council

  • MM slash DD slash YYYY

  • Employment Details

  • MM slash DD slash YYYY

  • Documents need to be upload

    (max size-1MB file types-pdf, jpg, docx)
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Accepted file types: jpg, pdf, docx, Max. file size: 1 MB.
  • Note: At the time of verification of original documents in the council office, also submit the original copy of your Pharmacist registration certificate, valid renewal card and affidavit along with 2 A4 size envelopes with pasted speed post stamp (current charges) and 1 Passport size photo.

    (नोट: काउन्सिल कार्यालय में मूल दस्तावेजों के सत्यापन के समय अपने फार्मेसिस्ट पंजीकरण प्रमाण पत्र, वैध रिन्यूअल कार्ड की मूल प्रति एवं शपथ पत्र के साथ दो A4 साइज के स्पीड पोस्ट (मूल्य के बराबर) टिकट लगे हुए लिफाफे व 1 पासपोर्ट साइज़ फोटो 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 ।)

  • Online Fee Rs. 2000

  • Note: Along with the registration fee Rs. 500, submit Rs 100 for the form fee.

    (कृपया रजिस्ट्रेशन फीस 500 के साथ 100 रूपये फॉर्म फीस भी जमा करें !)

  • For online payment -

    Account Holder - Uttarakhand Pharmacy Council
    Bank - State Bank of India
    A/c No. - 36821630863
    IFSC - SBIN007893

+91-9412962384
pharmacycounciluk@gmail.com

Directorate of Medical & Health 2nd Floor, Room #57 | Danda Lakhond | Near I.T. park | Sahastradhara Road P.O. Gujrada | Dehradun-248001

Copyright © Uttrakhand Pharmacy Council Dehradun | All Rights Reserved

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