PUNJAB PHARMACY COUNCIL, LAHORE

(Established under Pharmacy Act, 1967)

Block No.7, LDA Flats, Huma Block, Allama Iqbal Town, Lahore. Ph. # 042-99260298-300
www.punjabpharmacycouncil.com
Attested
Photograph
to be Pasted
by the
Applicant

Application Form for Registration as Pharmacy Technician in Register-B

1. Name (Block Letters)

2. Father’s Name:
3. Permanent Address:

4. Postal Address:

5. Qualification
6. Roll No. Session Held in
7. From the Institute
8. Date of Birth Place of Birth
9. National Identity Card No. Nationality
10.e-mail address. Phone No.
11.Mark of Identification
12.The prescribed Fee of Rs. has been remitted by
Bank Draft/Pay Order No. _ Dated:
Receipt No. Dated:
Signature of Applicant
Dated:
English

Urdu
Following documents must be submitted/attached with the application form:
1. Six (6) Photographs Passport Size (blue background & clear photo) attested by the Principal/Director of the
Institute concerned. (one photo front side & 5 from back side attested photographs).
2. Two (2) Colored photocopies of Diploma Certificate attested by the Principal / Director / Head of the Institute
concerned.
3. Two (2) Specimen Signatures duly attested by the Principal / Director / Head of the Institute concerned.
4. Two (2) Photocopies of National Identity Card attested by the Principal / Director / Head of the Institute
concerned.
5. One (1) Photocopy of 1st and 2nd Year Result Card attested by the Principal / Director / Head of the Institute
concerned.
6. Affidavit as per specimen given overleaf on Judicial paper of Rs. 100 duly attested by Oath Commissioner /
Notary Public /Magistrate 1st Class.
7. Original Character Certificate by the Principal / Director / Head of the Institute concerned.
8. Admission letter / Enrollment card of the candidate attested by the Principal / Director / Head of the Institute
concerned.
9. Four (4) attested colored photocopies of Matric or equivalent certificates.
10. Pay Order / Demand Draft of Registration Fee in the name of Secretary, Punjab Pharmacy Council of
Rs. 2000/- or Registration Fee may be submitted in the office of Punjab Pharmacy Council personally.
11. Fee for Matric or equivalent certificate verification as prescribed / required by the Board concerned.
12. NOC from concerned Institute.
 AFFIDAVIT
I, S/o
Caste Resident of
Tehsil District do hereby
solemnly affirm and declare as under:-

1. I passed Diploma/Pharmacy Technician, Examination in the Year

Roll No. Session ____________ to ____________ from the
Institute my enrollment No. in
college is ___________. My Diploma Certificate No. is __________
date is __________.

2. That the Institute_____________________________issued my

Diploma Certificate vide No. _______________ which is genuine one.

3. That my National Identity Card No_______________________ is genuine.

4. That I have never been granted Registration Certificate by any of the Provincial
Pharmacy Council in Pakistan. Neither, I have applied for the same elsewhere.

5. That I have never been convicted by any Court of Law for an offence involving Moral
Turpitude.

6. That I have never been declared unsound mind by any Court of Law.

7. That in case of false information Punjab Pharmacy Council may take action against me as
per law

8. That as stated above is true to the best of my knowledge and belief.

VERIFICATION DEPONENT

Verified on oath this

Day of _ at
That the contents of this affidavit are true to the best of my
Knowledge and belief and nothing have been concealed.

DEPONENT
 Punjab Pharmacy Council, Lahore
Specialized Health Care & Medical Education Department
Government of the Punjab
(Established under Pharmacy Act, 1967)

Ref. No. _______________ Date: ______________

To
Name of Applicant ______________________________________________
Address ______________________________________________
______________________________________________
College ______________________________________________
Subject: DOCUMENTRY DEFFICIENCY IN YOUR APPLICATION FOR REGISTRATION AS
PHARMACY TECHNICIAN IN REGISTER-B

Reference your application for Registration as Pharmacy Technician in Register-B in Punjab Pharmacy
Council, Lahore, on preliminary scrutiny of your application by the One Window Cell following documents
were found deficient / not as per format:
S# Requirement as per Volume 1.1 Attached Not As per Not as per
Attached format format
1 Six (6) Photographs Passport Size (blue background & clear
photo) attested by the Principal/Director of the Institute
concerned. (one photo front side & 5 from back side attested
photographs).
2 Two (2) Colored photocopies of Diploma Certificate attested
by the Principal / Director / Head of the Institute concerned.
3 Two (2) Specimen Signatures duly attested by the Principal /
Director / Head of the Institute concerned.
4 Two (2) Photocopies of National Identity Card attested by the
Principal / Director / Head of the Institute concerned.
5 One (1) Photocopy of 1st and 2nd Year Result Card attested
by the Principal / Director / Head of the Institute concerned.
6 Affidavit as per specimen given overleaf on Judicial paper of
Rs. 100 duly attested by Oath Commissioner / Notary Public
/Magistrate 1st Class.
7 Original Character Certificate by the Principal / Director /
Head of the Institute concerned.
8 Admission letter / Enrollment card of the candidate attested
by the Principal / Director / Head of the Institute concerned.
9 Four (4) attested colored photocopies of Matric or equivalent
certificates.
10 Pay Order / Demand Draft of Registration Fee in the name
of Secretary, Punjab Pharmacy Council of Rs. 2000/- or
Registration Fee may be submitted in the office of Punjab
Pharmacy Council personally.
11 Fee for Matric or equivalent certificate verification as
prescribed / required by the Board concerned.
12 NOC from concerned Institute.

*  Tick the in the relevant box.

** The candidate may proceed for Registration fee submission.
*** Fee as per Sr. No. 11 is the responsibility of applicant and less fee submission will delay the process
of registration.
**** Candidate before submission of documents shall check all the documents the areas of objection
usually are Session in the College & documents submitted are not as per format mention in Column 2
above.
***** The applicant is required to furnish deficient documents along with this letter at the earliest to
proceed further.

________________ ____________
Signature & Thumb PPC Staff
(Candidate) Counter No. 2

Block No. 7, LDA Flats Huma Block, Allama Iqbal Town, Lahore. Ph: 042-99260298 & 300
Website: www.punjabpharmacycouncil.com
Email: [email protected]