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  • Pharmacist's Professional Profile Renewal Form

    Diunggah oleh

    VishalNaranje
    19 tayangan1 halaman
    This document is a Pharmacist's Professional Profile Renewal form that must be submitted in person at the office. It requests personal information such as name, addresses, contact details, registration number, date of registration, qualification, date of birth, and an attached recent photo. Along with the completed form, the pharmacist must submit their original PPP card, registration certificate for verification and photocopy, and payment of Rs. 100 for renewal of their PPP for 5 years.

    Deskripsi Asli:

    pharmacy

    Judul Asli

    PPPRenewal

    Hak Cipta

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    This document is a Pharmacist's Professional Profile Renewal form that must be submitted in person at the office. It requests personal information such as name, addresses, contact details, registration number, date of registration, qualification, date of birth, and an attached recent photo. Along with the completed form, the pharmacist must submit their original PPP card, registration certificate for verification and photocopy, and payment of Rs. 100 for renewal of their PPP for 5 years.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    19 tayangan1 halaman

    Pharmacist's Professional Profile Renewal Form

    Diunggah oleh

    VishalNaranje
    This document is a Pharmacist's Professional Profile Renewal form that must be submitted in person at the office. It requests personal information such as name, addresses, contact details, registration number, date of registration, qualification, date of birth, and an attached recent photo. Along with the completed form, the pharmacist must submit their original PPP card, registration certificate for verification and photocopy, and payment of Rs. 100 for renewal of their PPP for 5 years.

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    Pharmacists Professional Profile Renewal form

    TO BE SUBMITTED IN PERSON IN THE OFFICE


    FOR OFFICE USE ONLY
    Date-

    Renewed PPP No- /


    Amt- Rs

    Receipt No

    Inward No-

    Affix recent
    front pose
    stamp size
    photo

    Sign-

    Date-

    Forwarded to -

    To,
    The Registrar-Maharashtra State Pharmacy Council,Mumbai
    I the undersigned would like to renew my Pharmacists Professional Profile

    (PPP) bearing Number-_________________


    I would like to furnish details as under
    Name-________________________________________________________________________________
    Present Communication Address-

    Taluka-

    District-

    Pin code-

    Present Professional Address-

    Registration number-

    Date of Registration-

    Registration renewed up to -

    Qualification-

    PPP number-

    Validity of PPP-

    Phone no(Residence)-

    Mobile no-

    E mail -

    Date of birth -

    Submitting here with* Original PPP card


    * Two recent front pose stamp size photos

    * Original registration certificate (for verification )


    and its photocopy
    * Remitting cash of Rs 100 /- for PPP renewal (5 years)

    Please renew my Pharmacist Professional Profile.


    Yours truly

    Signature of pharmacist

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