Pharma Affidavit

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PHARMACIST AFFIDAVIT

I, RANJITH KUMAR P, S/o Pethan. A, residing at No. 1/180, Murugesan Nagar, Neelankarai Link Road,
Thoraipakkam, Chennai - 600097, declare and solemnly affirm the following to the Licensing Authority, THE
ASSISTANT DIRECTOR OF DRUG CONTROL, ZONE-IV, CHENNAI-6 that I am a registered pharmacist, having
registered as pharmacist with Tamil Nadu pharmacy council with Registration No. 24016 A1 and renewed up to 31st
March 2020.
I am employed in M/s ASTRA PHARMACY” situated at Ground Floor in Exg. ASTRA SPECIALITY HOSPITAL at
Plot No: 707 & 724, Tsunami Colony Bypass Road, Nookampalayam Link Road, Off OMR Road, Semmancheri,
Chennai – 600119 as a full pharmacist from 16/8/2018 onwards and I am not employed anywhere else.
I was not previously worked in any firm/concern.
I will look after the day to day activity of the business of the said firm & I am fully aware of the provisions of Drugs
and Cosmetics Act and I am responsible for any contravention thereof. I will maintain the sales bills for drugs sold on
prescription & maintain all the record and registers of the firm as stipulated under the Drugs and Cosmetic Act 1940
and rules 1945.
In case I leave the said firm I will inform the licensing authority of my resignation and this affidavit to be treated as
cancelled from the date of resignation.

Place:

Date: Signature

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