Health Department FORM 27 Application for grant or renewal of a licence to manufacture for sale [or for distribution of]7c drugs specified in Schedules C and C(1)8 [excluding those specification in 7b[Part XB and] Sch. X] 1. I/We ............... hereby apply for the grant/renewal of a licence to manufacture on the premises situated at ............. the under-mentioned drugs, being drugs specified in Schedules C and C(1), 8[excluding those specified in 7b[Part XB and] Sch. X] to the Drugs and Cosmetics Rules, 1945. Name of drugs .................... (each item to be separately specified) 2. The names, qualifications and experience of the expert staff responsible for the manufacture and testing of the above - mentioned drugs : a. Name(s) of staff responsible for test.................. b. Name(s) of staff responsible for Manufacture............... are ready for inspection 3. The premises and plan ----------------------------------- will be ready for inspection on 4. A fee of rupees ....... and an inspection fee of rupees ....... has been credited to Government under the head of account .......... Date......... Signature......... Designation.........] Note - The application shall be accompanied by a plan of the premises.
