79[FORM 24-B [See Rule 69] Application for grant or renewal of a licence to repack for sale or distribution of drugs, being drugs other than those specified in Schedules C and C(1) 80[excluding those specified in Sch. X] 1. I/We ........ of ........ hereby apply for grant/renewal of a licence to repack the following drugs at the premises situated at ........ 2. Names of the drugs to be repacked. 3. Name, qualification and experience of competent staff ........ 4. A fee of rupees forty has been credited to Government under the head of account ................ Date........ Signature of applicant........] Note- The application shall he accompanied by a plan of the premises.
