F O R M 2 4 C (SEE Rule 85-B) APPLICATION FOR THE GRANT OR RENEWAL OF A LICENCE TO MANUFACTURE FOR SALE OF HOMEOPATHIC MEDICINES OR A LICENCE TO MANUFACTURE POTENTISED PREPARATIONS FROM BACK POTENCIES BY LICENCEE HOLDING LICENCE IN FORM 20-C 1. I/We ........................................................................................................................................ of.................................................................................................................................................hold of Licence No..................................................................................................................in form 20-C here by apply for the grant/renewal of Licence to manufacture Homeopathic mother tinotures/Potentised preparations on the premises situated at................................................................................................ ............................................................................................................................................................ 2. Names, qualifications and experience of technical staff employed for manufacture and testing of Homeopathic medicines. "0210-Medical & Public Health, 03-Medical Education Training and Research, MH-102-Homeopathy, SH(81)-Other Receipts". Dated: SIGNATURE Note:1. Delete whichever portion is not applicable. 2. The application should be accompanied by a Plan of the premises. CH.R/22/5.
