[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.
3. I/we enclose :--
4. A fee of rupees ..has been credited to Government under the head of account
* 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.