Affidavit (Medical Pharmacy).

AFFIDAVIT

        I, ____________ S/o W/o D/o ____________, Aged about ____ years, Occupation __________ Resident of H.No. ___________________ ___________________________ state oath as follows:

I am a Registered Pharmacist with Certificate Bearing No. ____________ Dated ___________.

I am the Partner-Cum-Pharmacits/Partner/Employee of _________ _____________ Resident at ___________________________ As full time Registered Pharmacist.

I will not work in any other firm in any capacity as long as the Registered Pharmacist of _________________,

Further, I declare that I am not doing any further studies in any course in any University after completion of my ______________.

In case of my resignation/leaving the above firm, I will give advance notice of ___ months in writing to the license holder and will mark a copy of the same to Drugs Control Authorities.

I hereby declare that the above matter is true and correct to the best of my knowledge. It is found in correct then the authorities may take legal action against me as per rules.

I will be held responsible for any things happens during the sale of Drug in contravening of Drubs Act during my service in the above shop.

                                                                              

Place  

                                                                                                  SIGNATURE