How to Apply for Issuance/Renewal of Drug License for Retail Chemists in Punjab

To apply for the issuance or renewal of a drug license for retail chemists in Punjab, follow these steps. This guide provides detailed instructions on how to complete the application form, the necessary documents, and the submission process.

Step 1: Obtain the Application Form

You can download the application form from the official Punjab government website or access it directly here.

Step 2: Fill Out the Application Form

For Official Use Only Section

• Application Number: (Leave this blank; it will be filled by the office)
• Date of Application: (Leave this blank; it will be filled by the office)
• Name of Block & Tehsil: (Leave this blank; it will be filled by the office)

Part 1: Personal Details

Details of Person Filling the Application Form

• Self-Attested Photo of Beneficiary
• Name
• Address
• Relation with Beneficiary

Personal Data of Beneficiary

• Name
• Gender: Male, Female
• Date of Birth
• Age (if Date of Birth not known)
• Place of Birth
• Father’s Name
• Mother’s Name
• Address
• PIN Code
• District
• Marital Status
• Spouse Name
• Email ID
• Contact Phone Number
• Voter ID Card Number
• Aadhaar Number (UID)
• Aadhaar Enrollment Number (if Aadhaar not issued)

Part 2: Service Details

Application Details

• Mode of Delivery of Service:
  • Sewa Kendra
  • By Post
• Application Processing Office

Beneficiary Details (if not the applicant)

• Name of Beneficiary (Aadhaar No. of Beneficiary, Attach Copy)
• Relationship with Applicant

Part 3: List of Required Documents

1. Application Form 19 each for Biological and Non-Biological drugs
2. Receipt Challan of Rs. 1500/- for each Biological and Non-Biological drugs license (total 3000/-) to be deposited in Govt. Treasury
   • If the application for renewal of licenses is made within 6 months after expiry of drug licenses, the fees payable for renewal shall be rupees three thousand plus an additional fee of rupees 1000 per month.
3. Self-declaration of Proprietor/Partners/Authorized Signatory/Directors as the case may be
4. Self-declaration of Qualified Person
5. Residential and identity proof of Proprietor/Partners/Authorized Signatory/Directors and Qualified Person
6. In case of Pvt. Ltd. & Ltd. Company:
   • List of Directors with addresses
   • Copy of Resolution of Board of Directors
   • Memorandum of Article
   • Form 32 regarding the status of Directors
7. In case of Partnership concern, copy of partnership deed
8. Power of Attorney, if the application is through Attorney Holder

Declaration

You must declare that you have been residing in India for at least 182 days in the preceding 12 months and that all the information provided by you is true and accurate. You must be aware that your biometrics and information will be used for Aadhaar generation and authentication.

Feedback Form

The form includes a feedback section where you can provide suggestions or indicate if any unnecessary or vague information is being asked.