FORM 27-A

[See Rule 75-Al

Application for grant or renewal of a loan licence to manufacture for sale ''[error distribution of]7c drugs specified in Schedules C and C(1) 8b[excluding those specified in 8c[part XB and] Sch. X]

1. I/We*……………….. of + …………………….. hereby apply for the grant/renewal of loan licence to manufacture on the premises situated at …………… ………….. C/o++ ……………………… ………… the under-mentioned drugs, being drugs specified in Schedules C and C(1) 8b[excluding those specified in 8c[Part XB and] Sch. X] to the Drugs and Cosmetics Rules, 1945.

Names of drugs (each substance to be separately specified).

2. The names, qualifications and experience of the expert staff actually connected with the manufacture and testing of the specified products in the manufacturing premises.

(a) Name(s) of expert staff responsible for manufacture …………… …………..

(b) Name(s) of expert staff responsible for testing…………… …………..

3. I/we enclose :--

(a) A true copy of a letter from me/us to the manufacturing concern whose manufacturing capacity is intended to be utilised by me/us.

(b) A true copy of a letter from the manufacturing concern that they agree to lend the services of their expert staff, equipment and premises for the manufacture of each item required by me/us and that they will analyse every batch of finished products and maintain the registers of raw materials, finished products and reports of analysis separately on this behalf.

(c) Specimens of labels, cartons of the products proposed to be manufactured.

4. A fee of rupees ………………………..has been credited to Government under the head of account …………………

 

Date ………………… Signature…………………………

* Enter here name of the proprietor, partners or Managing Director, as the case may be.

+ Enter here 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 and also the licence number under which the latter operates.