ROLL No.
_
PUNJAB PHARMACY COUNCIL, LAHORE
Block No.7, LDA Flats, Huma Block, Allama Iqbal Town, Lahore. Ph. # 042-99260298
ADMISSION FORM FOR EXAMINATION OF PHARMACY ASSISTANT (Supplementary)
(REGISTER-“B”)Year of Examination
Attested
Photograph to
be Pasted by
THE REGISTRAR
PUNJAB PHARMACY COUNCIL the Applicant
LAHORE
Sir,
I request for the permission to appear in the examination of the Punjab pharmacy council as
provided under section 29 of the pharmacy act 1976. I submit below the necessary particulars:-
1. Full Name
2. Father’s Name
3. Date of Birth Religion
Permanent Address
4. Postal Address
5. Mark of Identification Phone No._
6. N.B.P Pay Order No./Bank Draft No. Date:
7. National Identity Card No.
8. Matric Certificate Roll No. E-Mail:
Signature of Applicant
English
Urdu
(FOR COMPARTMENT – EXEMPTED CANDIDATES ONLY)
Appeared in Examination held in the month Year
Under Roll No. and is eligible to re-appear
in the Subject of in next one/two chance according
to result card. For Office Use only
Admission from has been received. Enrollment certificate, Apprenticeship or Dispenser
certificate and other required documents have been checked admission Fee has also been
received. May be admitted please.
Prepared by (Exam. Clerk) Checked by (Assistant)
Cash Receipt No. Accountant
I) The Examination Fee is Rs. 5,000/, after the expiry of due date double fee amounting to
Rs. 10,000/- has to be remitted. Last Result Card must be attached.
II) Incomplete Form shall not be accepted.
