FORM
19-B
[See Rule 67-A]
Application for license
to sell, stock or exhibit [or offer] for sale,
or
Distribute Homeopathic medicines
1. I/We ___________________ of _________________
hereby apply for a license to sell by wholesale
or retail ______________________________ Homeopathic
medicine on the premises situated at ___________________________________________________________
+2. The sale and dispensing of Homeopathic
medicines shall be made under the personal supervision
of the following competent person in-charge.
Name _________________________
3. A fee of rupees ____________________ has
been credited to Government under the head of
account ___________________________________________________________________
* Delete whichever is not applicable.
+ Required only if products requiring special
storage are to be sold.
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