APPLICATION FOR THE APPROVAL OF TECHNICAL STAFF : * * * * 1. Name & Address of the Manufacturer PHOTO 2. Drugs Licence No. and date O f Issue and Categories for which the firm is Licenced.1 3. Full Name and Address of the Candidate. : 4. Education Qualification : 5. Period of Actual Experience in the Section for which approval is sought satisfactory evidence is to be produced in this matter. : 6. Section for which approval is sought. : 7. Whether the first appointment of assistant Chemist in that Section is informed to Drugs Control Administration and his note obtained in not : 8. If so, the details of reference No. I Drugs Control Administration for having taken none of his appointment as Assistant Chemist ( Urappoovelint that Section). : 9. Details of previous approval, if any : 10.Details of previous approvals, if any : 11.Date of leaving previous employment and name and address of that manufacturer along with a copy if of resignation/termination of the previous employment. : 12. Brief note on the nature of work carried out an experience ganed befored approval : 13. Other relevent details if any for consideration of the approval. : 14. Signature of the purposed technical staff attested by Signature of the the applicant firm/Drugs Authorised person Inspector/Regional Assistant on behalf of the Director. Manufacturing. : Encl: ATTESTED XEROX COPIES ARE ONLY VALID AND INTO CONSIDERATION. 1. Degree Certificate of Certificate of Education Qualification. 2. In the case of a female candidate whether married or not if married the detail of the place of working etc., of the spouse. 3. Experience Certificate. 4. Drugs Control Administration letter for having taken note of appointment as Assistant Chemist in that Section. 5. Evidence of leaving previous employment. 6. Appointment and acceptance letters. 7. Details of previous approvals/refusals, if any, 8. Attested passport Size Photographs if the technical staff to affixed to the application. 9. Consent of technical staff employed in the firm in the prescribed form.
