Application for Retention of a restricted licence to sell,stock or exhibit or offer for sale, or distribute drugs by Wholesaler dealers who do not engage the services of a qualified person Form19 A

Service Details are:

 
Service is defined by the - LINE DEPARTMENT - Commissionerate of Food and Drugs Administration

The Beneficiary of this service will be Business persons ( G2B )

Types of Service:
Do applicant(s) need to register to avail this service?
Yes
Development Services
Sector
Scheme
Mode Of Selection
The URL at which more information about service are available :
No of Days within which service will be delivered after application submission?
NA          

Note: The time period given is excluding the Government holiday list

Who can apply for this Service?

 
The Application can be submitted by the following:
Institution

How to submit application and Enclosure Details?

  The Application can be submitted by the following:
Online


Following Documents are required along with the application form

Enclosure Type
Type Of Enclosure Original / Photocopy Attestation Required Documents Recommended
UBIN Certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate   
Common Application Form (Department of Industries and Commerce) Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form   
Up to date renewal certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate   
Copy of Original Drug License Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License   
Upto date copy of treasury challan Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan   
UBIN Certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate   
Common Application Form (Department of Industries and Commerce) Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form   
Up to date renewal certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate   
Copy of Original Drug License Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License   
Upto date copy of treasury challan Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan   
Treasury Challan Original Original Original Original Not Required Not Required Not Required Not Required Treasury Challan    Treasury Challan    Treasury Challan    Treasury Challan   
UBIN Certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate   
Treasury Challan Original Original Original Original Not Required Not Required Not Required Not Required Treasury Challan    Treasury Challan    Treasury Challan    Treasury Challan   
Common Application Form (Department of Industries and Commerce) Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form   
Up to date renewal certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate   
Copy of Original Drug License Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License   
Upto date copy of treasury challan Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan   
UBIN Certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate   
Treasury Challan Original Original Original Original Not Required Not Required Not Required Not Required Treasury Challan    Treasury Challan    Treasury Challan    Treasury Challan   
Common Application Form (Department of Industries and Commerce) Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form   
Up to date renewal certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate   
Copy of Original Drug License Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License   
Upto date copy of treasury challan Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan   
UBIN Certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate    Copy of UBIN (Unique Business Identification Number) Certificate   
Treasury Challan Original Original Original Original Not Required Not Required Not Required Not Required Treasury Challan    Treasury Challan    Treasury Challan    Treasury Challan   
Common Application Form (Department of Industries and Commerce) Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form    Copy of Common Application Form   
Up to date renewal certificate Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate    Up to date renewal certificate   
Copy of Original Drug License Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License    Copy of Original Drug License   
Upto date copy of treasury challan Original Original Original Original Original Not Required Not Required Not Required Not Required Not Required Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan    Upto date copy of treasury challan   



What will Applicant get as Service Deliverable?

  The applicant will receive Output Certificate/Report as the service deliverable(s).
Certificate/Report