Health Department FORM 24 [See Rule 69] Application for the grant of or renewal o a licence to manufacture for Sale 76a[or for distribution of] drugs other than those specified in 77[Schedules C, C(1) and X] 1. I/We ........ of........ hereby apply for the grant/renewal of a licence to manufacture on the premises situated at........ the following drugs being drugs other than. those specified in 77[Schedules C, C(1) and X] to the Drugs and Cosmetics Rules, 1945. 2. Names of drugs categorized according to-Schedule M. ........ 3. Names, qualifications and experience of technical staff employed for manufacture and testing. 4. A fee of rupees........ has been credited to Government under the head of account........ Date........ Signature........ Note. - The application should be accompanied by a plan of the premises.