Ayurvedic license
83 (FORM 24-E)
(See Rule 154-A)
Application for Grant of Renewal of a Loan License to manufacture for sale Ayurvedic (including Siddha) or Unani Drugs.
1. We the board of directors of KBIPER PHARMA., Sector 23, GH-6, Gandhinagar hereby apply for the grant of a loan licence to manufacture Ayurvedic (including Siddha) or Unani Drugs on the premises situated at PATEL LIFECARE PVT. LTD, 250, GIDC, NARODA, AHMEDABAD
2. Names of drugs to be manufactured is attached in Annexure I
3. The names, qualifications and experience of technical staff actually connected with the manufacture and testing of Ayurvedic (including Siddha) or Unani drugs in the manufacturing premises is attached separately
4. We enclose
a) A true copy of a letter from me/us to the manufacturing concern whose manufacturing capacity is intended to be utilized by me/us.
b) A true copy of a letter from the manufacturing concern that they agree to lend the services of their competent technical staff, equipment and premises for the manufacture of each item required by me/us and that they shall maintain the registers of raw materials and finished products separately in this behalf.
c) Specimen of labels, cartons of the drugs proposed to be manufactured.
5. A fee of Rs. 600/- has been credited to Government under the head of account 0210 medical & public health, 04 public health, 104 fee & fines
Date: 27/06/2013 Signature……………………………. (Applicant)
*Enter here the name of the proprietor, partners or Managing Director as the case may be.
*Enter here the name of the applicant firm and the address of the principal place of business.
**Enter here the name and address of the manufacturing concern where the manufacture will be actually carried out also the licence number under which the letter operates.
(See Rule 154-A)
Application for Grant of Renewal of a Loan License to manufacture for sale Ayurvedic (including Siddha) or Unani Drugs.
1. We the board of directors of KBIPER PHARMA., Sector 23, GH-6, Gandhinagar hereby apply for the grant of a loan licence to manufacture Ayurvedic (including Siddha) or Unani Drugs on the premises situated at PATEL LIFECARE PVT. LTD, 250, GIDC, NARODA, AHMEDABAD
2. Names of drugs to be manufactured is attached in Annexure I
3. The names, qualifications and experience of technical staff actually connected with the manufacture and testing of Ayurvedic (including Siddha) or Unani drugs in the manufacturing premises is attached separately
4. We enclose
a) A true copy of a letter from me/us to the manufacturing concern whose manufacturing capacity is intended to be utilized by me/us.
b) A true copy of a letter from the manufacturing concern that they agree to lend the services of their competent technical staff, equipment and premises for the manufacture of each item required by me/us and that they shall maintain the registers of raw materials and finished products separately in this behalf.
c) Specimen of labels, cartons of the drugs proposed to be manufactured.
5. A fee of Rs. 600/- has been credited to Government under the head of account 0210 medical & public health, 04 public health, 104 fee & fines
Date: 27/06/2013 Signature……………………………. (Applicant)
*Enter here the name of the proprietor, partners or Managing Director as the case may be.
*Enter here the name of the applicant firm and the address of the principal place of business.
**Enter here the name and address of the manufacturing concern where the manufacture will be actually carried out also the licence number under which the letter operates.