DRUGS CONTROL DEPARTMENT

 

INTRODUCTION -

Drugs have a special significance in human life. There may not be any need of a drug for a healthy person in normal life. But in illness, accidents, epidemics and natural disasters drugs are urgently required to combat the disease and it is there that drug fights DEATH. DRUG is therefore the greatest weapon of mankind to fight DISEASE and DEATH. It is at this very point of death that the specific drug of highest quality, purity and safety has to win the battle for life. Therefore, one cannot compromise for anything less. Hence the need for DRUGS CONTROL ADMINISTRATION.

Drugs Control Department in KARNATAKA has its beginning in the year 1962. The Drugs and Cosmetics Act, 1940 and Rules, 1945 were implemented in KARNATAKA state with effect from 1-4-57. Drugs Control Department in Karnataka is the premier law enforcement agency implementing the provisions of Drugs & Cosmetics Act, 1940 and Rules 1945 and other drugs related laws. Drugs Control Department in Karnataka is functioning as an independent department since 1962 under the Health and Family Welfare department, Government Of Karnataka with the Drugs Controller as Head of the Department. Its head office is located at Palace Road, Bangalore-560001.

 

 

 

Drugs Control Department has three wings

1)     Enforcement Wing

2) Drugs Testing Laboratory

3)     Government College of Pharmacy & Board of Examining Authority.

Enforcement wing deals with licensing of sales establishments manufacturing establishments, inspections of sales and manufacturing establishments, drawl of samples for test and analysis, investigation of complaints, launching of prosecution against the defaulters etc.

The important aims and objectives of the department are quality control of Drugs , consumer protection by exercising strict control and vigilance on the drugs which are being manufactured and /or marketed ,thereby ensuring drugs of standard quality, purity , strength, safety are available to the public at controlled prices. The enforcement wing is dealing with grant/renewal of manufacturing licenses, blood banks, sales licences, inspections of manufacturing, blood banks, and sales establishments. Investigation of complaints and launching prosecutions in case of breach of law, drawing of drug/cosmetics samples for the purpose of Test or analysis to ascertain its quality, purity and strength and safety.

 

Drugs Testing Laboratory is a statutory Laboratory that carries out testing and analysis of samples of Drugs & Cosmetics drawn by enforcement officers and samples sent by a purchaser. It is equipped to analyze all categories of drugs except Vaccines, Sera, Blood and Blood components and Diagnostic Kits. The laboratory is having library and animal house facilities. Drugs Testing Laboratory is situated in Drugs Control Department, Palace Road, Bangalore .

Pharmacy Education Government College of Pharmacy is situated at Subbaiah Circle, Bangalore-27 imparting Pharmacy Education to Diploma, Degree, Post Graduate levels.

 

The Board of Examining Authority which is situated in the same campus is conducting the examination and valuation of Diploma in Pharmacy Course. This authority is entrusted with the responsibility of conducting Examination to students of Diploma in Pharmacy as per the Education regulations of Pharmacy Council of India, a statutory body to oversee the standard of education in Pharmacy in the country. For this purpose, the Govt. has constituted Board of Examining Authority with Principal ,Government college of Pharmacy, Bangalore as Chairman and Professor of the said college as Member Secretary.

The Drugs Control Administration in the State is implementing the following Central Legislations throughout the State.

1.     The Drugs and Cosmetics Act, 1940 and Rules 1945.

An Act to regulate import, manufacture, distribution and sale of Drugs and Cosmetics in the country. The main object of the act is to prevent substandard in Drugs & Cosmetics. To ensure the quality of drugs manufactured and sold in the state, drug samples are taken from manufacturing units, hospitals and sales outlets and their quality is assessed after conducting test/analysis in the Drugs Testing Laboratory of the Drugs Control Administration.

2.     Drugs (Prices Control) Order, 1995 is issued by the Government of India under Section 3 of the Essential Commodities Act 1955 (10 of 1955):

In this order, prices of 74 Bulk drugs and their formulations are fixed by the Government of India (National Pharmaceutical Pricing Authority under the Ministry of Chemicals and Fertilizers, Government of India) so as to make these drugs available to the public at affordable prices. The enforcement wing of the Drug Control Administration implements the provisions of the Drugs (Prices Control) Order 1995 in respect of the current prices of Bulk drugs and their formulations as fixed by the National Pharmaceutical Pricing Authority. The drugs Control administration assists the National pharmaceutical Pricing Authority in realization of the excess prices charged by the errant manufacturers besides taking legal action against the erring manufacturers and dealers.

3.    The Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954 & Rules there under.

The above Act is an important piece of legislation, enacted with a view to prevent objectionable and misleading advertisement in order to discourage self medication and self treatment and to control the advertisement of drugs in certain cases, to prohibit the advertisements for certain purpose of remedies alleged to possess magic qualities and to provide punishment for matters connected therewith. The enforcement wing of Drugs Control Administration scrutinizes the labels, advertisements and other materials for possible misleading and objectionable advertisements and the violators are prosecuted in the Courts of law.

4.     Narcotic Drugs and Psychotropic Substances Act,1985 and Narcotic Drugs and Psychotropic Substances (Karnataka) Rules 1985

The role of Drugs Control Department , Karnataka is to ensure allocation of Narcotic Drugs and Psychotropic substances to the formulation manufacturers in the state. Drugs Control Department , Karnataka under the provisions of Narcotic Drugs and Psychotropic Substances (Karnataka) Rules 1985, sanctions approval to hospitals/ nursing homes as Recognised medical institution for the purpose of possession, sale, import interstate, export interstate, or use of Oral Morphine for the palliative care of cancer patients.

 

5    Poison Act, 1919 and Karnataka Poisons Rule, 1966.

Under Karnataka Poisons Rules 1966, license is granted for the stock and sale of Poisons listed under the said rules. Inspections are also carried out to ascertain whether the licensees are complying with the provisions of the above statute are not.

 

Departments Mission:

Enforce legislations to ensure quality control of Drugs, by exercising strict control and vigilance on the drugs manufactured and / or marketed, thereby ensuring drugs of standard quality, purity, strength, safety available to the public at controlled prices.

 

Goals and Objectives:

To strive for Pharmaceutical excellence and health for all by ensuring the supply of safe, effective and quality drugs at affordable prices to the people of Karnataka and endeavor to place Karnataka Drugs Control Department on the global map as the best regulatory agency.

 

 

 

 

 

Nature of work

 

a)     Head quarters

        Grant of fresh/renewal of manufacturing licences for Drugs & Cosmetics. Grant/Renewal of approval of approved laboratories. Grant/renewal of poisons licence. Grant/Renewal of Blood Banks and Blood components.

        Inspections of manufacturing units and Blood banks.

        Granting of permission to launch prosecutions

        Scrutiny of reports sent by enforcement officers pertaining to not of standard quality/adulterated/spurious/misbranded drugs. Investigation reports in respect of complaints.

        Issue of different certificates such as Good Manufacturing Certificates (GMP certificate), Free Sale Certificate, Market Standing Certificate, Export Registration Certificate etc., to the manufacturers for export purpose.

        Overall administration of the entire organization.

        Accounts & Establishments section

        Drawal of sample from the drugs/cosmetics manufacturing establishments.

        Launching of prosecution against the defaulters and follow up court cases.

 

b) Blood Bank and Intelligence Wing:

 

        Blood Bank Inspections in their respective jurisdiction.

        Collection and dissemination of information

gathered during intelligence work.

        Inspection of drugs sales establishments

        Drawl of sample from sales premises/hospitals for test and analysis.

        Launching of prosecution against the defaulters and follow up court cases.

c)     Drugs Price Control Cell.

 

        Inspection of drugs sales establishments

        Detecting of price control violation by manufacturers & dealers.

        Drawl of samples from drugs sales premises/Hospitals for test & analysis.

        Launching of prosecution against the defaulters & follow up court cases.

 

 

 

d)     Assistant Drugs Controllers / Drugs Inspectors at circles.

 

        Grant / Renewal of licenses of sales establishments

        Inspections of drugs sales establishment and government hospitals

        Investigation of complaints

        Drawl of samples from sales/hospitals for test and analysis.

        Launching of prosecution against the defaulters & follow up court cases.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRUGS CONTROL DEPARTMENT , MYDURE CIRCLE/Mysuru DIVISION

In Mysuru , the Drugs Control Department has three offices-

 

1)     Office of the Deputy Drugs Controller , Blood Bank and Intelligence Wing,

Mysuru Division

2)     Office of the Assistant Drugs Controller, Mysuru Circle -I

3)     Office of the Assistant Drugs Controller, Mysuru Circle II

 

Office of the Deputy Drugs Controller , Blood Bank and Intelligence Wing, Mysuru Division

 

Address-

Deputy Drugs Controller, Blood Bank and Intelligence Wing,

Mysuru Division , No 186, Ground Floor, Jwalamukhi Complex,

I Block, Adichunchangiri Road, Kuvempunagar, Mysuru-23.

Phone no- 08212567180

Fax - 08212567180

 

e-mail: ddc__mys@yahoo.com

 

He is having jurisdiction over the following Districts-

1)     Mysuru Dist.

2)     Chamarajanagar Dist.

3)     Kodagu Dist.

4)     Udupi Dist.

5)     Dakshina Kannada Dist

6)     Chickkamagalore Dist.

7)     Hassan Dist.

 

 

Organisation Structure of the office of Deputy Drugs Controller, Blood Bank and Intelligence Wing,

 

Sl. No

Name of the officers/

official

Designation

No.of

Posts

Phone

numbers

1

Sri. H. Revanasiddappa

Deputy Drugs Controller

1

 

2

Sri.Nazeer Ahamed

Drugs Inspector

1

 

3

Smt. Mamatha. G

Typist

1

 

4

Sri. Mukthar Ahamed Khan

Driver

1

 

5

Smt. Mangala Gouri

Group-D

1

 

 

 

Office of the Assistant Drugs Controller , Mysuru Circle-I

 

Address-

Assistant Drugs Controller, Mysuru Circle-I, No. 186/A,I Floor, Jwalamukhi

Complex, I Block, Adichunchangiri Road, Kuvempunagar, Mysuru-23.

Phone no- 0821-2568511

Fax 0821-2568511

 

He is also a licensing authority under the provisions of the Drugs and Cosmetics Act, 1940 and Rules thereunder having jurisdiction over the following Areas.

Assistant Drugs Controller, Mysuru Circle-1

a. Entire K.R. Nagar Taluk

b. Entire Hunsur Taluk

c. Entire Periyapattana Taluk

d. Entire Heggadavena Kote Taluk

e. Postal Pincode of Mysuru City

Comprising of

570001,570002, 570005

570007, 570009, 570012,

570020, 570021, 570022,

570024, 570025, 570026

 

 

Organisation Structure of the office of Assistant Drugs Controller, Mysuru Circle-I

 

Sl. No

Name of the officers/

official

Designation

No.of

Posts

Phone

numbers

1

Sri. V.L.Hambar

Assistant Drugs Controller

1

9945885442

2

Sri.M.Suresh

Drugs Inspector

1

9972573119

3

Vacant

Office superintendent

1

 

4

Smt. Indiramma. T.V

Typist

1

 

5

Vacant

Group-D

1

 

 

 

 

 

 

 

 

 

Office of the Assistant Drugs Controller , Mysuru Circle-II

 

 

Address-

Assistant Drugs Controller, Mysuru Circle-II, No. 186/B, Ist Floor,

Jwalamukhi Complex, I Block, Adichunchangiri Road, Kuvempunagar,

Mysuru-23.

Phone no- 08212568510

 

He is also a licensing authority under the provisions of the Drugs and Cosmetics Act, 1940 and Rules thereunder having jurisdiction over the following Areas.

 

Assistant Drugs Controller, Mysuru Circle-II

a.Entire T.Narasipura Taluk

b. Entire Nanjunagud Taluk

c. Entire Mysuru Taluk

d. Postal Pincode of Mysuru City

Comprising of

570004,570006, 570008

570010, 570011, 570014,

570015, 570016, 570019,

570023, 570029, and

Any pincode left over in Mysuru Circle I

Area and also any pincode newly

forming in future.

 

 

 

 

 

Organisation Structure of the office of Assistant Drugs Controller, Mysuru Circle-II

 

Sl. No

Name of the officers/

official

Designation

No.of

Posts

Phone

numbers

1

Sri. Arun. B.P

Assistant Drugs Controller

1

9448407101

2

Sri.Babu. B.N

Drugs Inspector

1

9448205177

3

Vacant

Office superintendent

1

 

4

Vacant

Typist

1

 

5

Vacant

Group-D

1

 

 

 

HOME PAGE

 

 

1) Brief description of working of Drugs Control Department.

2) Organization structure of the office of the Deputy Drugs Controller, Blood bank

& Intelligence Wing, Mysuru Division

3) Organization structure of the office of the Assistant Drugs Controller, Mysuru

Circle-I

4) Organization structure of the office of the Assistant Drugs Controller, Mysuru

Circle-II

5) Details of Licensing procedures

 

Sl no

Licensing Particulars

Application and other documents to be submitted as per the Check list

Licenses in forms To Be Granted

1

Retail Licenses

Application in Form 19

20 & 21

2

Wholesale Licenses

Application in Form 19

20B & 21B

3

Retail and Wholesale Licenses

Application in Form 19 ( 2 Numbers)

20, 21, 20B and 21B

4

Restricted Licenses

Application in Form 19A

20A & 21A

5

Motor Vehicle Licenses

Application in Form 19AA

20BB & 21BB

 

6) Other related links

 

Central Drugs Standard Control Organization - www.cdsco.nic.in

National Pharmaceutical Pricing Authority www. nppaindia. nic. in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK LIST OF DOCUMENTS TO BE SUBMITTED WHILE APPLYING FOR THE GRANT OF FRESH LICENCES IN FORMS 20, 21. (Retail )

1) Covering Letter (Application)

Cgt v

2).Form-19

Cf ƣ -19

3).Additional Information Sheet

CP iw

4). Fees of Rs.3000/- to be Paid in the following Head of Account through Govt

challan at SBM, Treasury Branch Ashoka Road , Mysuru

Į g 3000 F PɼPAq P öPU Pj Z SAvg J Ji Se S, CP g ʸj w vPz

0210 Medical and Public Health

04 Public Health , 104 Fees etc,

201 Drugs and Cosmetics Act and

Rules Drugs Control Department

 

5).Photocopy of the Tax Paid Receipt (latest)

Ewa PAzAi gâ w

6).Photocopy of the Rental Agreement / lease deed (which is notarized) if the applicant is a legal tenant

rU Pgg v / ø rq (lj iqz )

7) Proprietorship Declaration/ Partnership deed/ Articles of Association and Memorandum

iPvz Wõu/zjPAi Pgg v

8).Refrigerator Invoice / Declaration

vPAiAvz Rjâ / Wõu v

9).Qualified Person Proforma in respect of the Registered Pharmacist

Cv QAi êP v

10).Photocopy and Original Diploma in pharmacy certificate and Karnataka State

Pharmacy Council Certificate

r si v PlP gd Ozs eУ jwۣ Azt it v (Ʈ

v egP wU)

11).Affidavit of the Qualified Person on a stamp paper of Rs. 20 /- which has to be

notarized (20.g.Aq åg ï Cv wAi zs v ( ljAz zrPv

VgvPz )

12) Plan /sketch of the proposed sales premises showing the dimensions of the area. It

should contain the name and address of the premises and duly signed by the

applicant.

Dgtz P

 

13).Address Proof of the applicant

Cfzgg iw

 

14).Option and Approval Form in duplicate.

Cv v CĪzAi ƣ wU

 

15).Photos (Qualified Person :-Post card size I and Pass Port size 2;) and One passport

size photo of the Proprietor/ Partners/ Directors

J) Cv QAi s av ø Pq-1, l d 2,

) iPg/ zgg/qgPg s av MAz sl e

7) Area of the Premises for which application is made shall not be less than

1) 10 sq. meters in case of licence in forms 20.21.(Retail)

2) 15 sq. meters in case of licence in forms 20 ,21, and 20B, 21B.

 

Ƹ gzU qAiĮ igl Cgtz t F PɼPAq gvUU Mngvz

1)       20-21-ag Ozs gU AdgwUV-10 Zzg lgUVAv Pr Eggz

 

2)       20-21/ 20-21-ag v Ul Ozs gUUV 15 Zzg lg UVAv Pr

Eggz

 

Note-1) Those who intends to possess license in form 20G to deal in Sch.X drugs by way

of wholesale they shall submit the application in form 19C alongwith challan

of Rs. 500/- credited to the same Head of Account mentioned above.

 

2)      Those who intends to possess license in form 20F to deal in Sch.X drugs by way

of retail they shall submit the application in form 19C alongwith challan

of Rs. 500/- credited to the same Head of Account mentioned above.

 

 

g1 1) Cĸa JP OzsU Ul g iq EaѸĪg gĪ zRwU dvU 19 Cf ƣ U g 500 g ZAU îAq P öP Aiİ t AzAi ir, 20f gVAiģ qAiħz.

2) Cĸa JP OzsU ag g iq EaҸĪg gĪ zRwU dvU 19 Cf ƣ U g 500 g ZAU îAq P öP Aiİ t AzAi ir, 20Z gVAiģ qAiħz.

.

 

 

 

 

 

 

 

 

 

 

CHECK LIST OF DOCUMENTS TO BE SUBMITTED WHILE APPLYING FOR THE GRANT OF FRESH LICENCES IN FORMS 20B & 21 B (Wholesale)

 

1) Covering Letter (Application)

Cgt v

2).Form-19

Cf ƣ -19

3).Additional Information Sheet

CP iw

4). Fees of Rs.3000/- to be Paid in the following Head of Account through Govt

challan at SBM, Treasury Branch Ashoka Road , Mysuru

Į g 3000 F PɼPAq P öPU Pj Z SAvg J Ji Re S, CP g, ʸj w vPz

0210 Medical and Public Health

04 Public Health , 104 Fees etc,

201 Drugs and Cosmetics Act and

Rules Drugs Control Department

 

5).Photocopy of the Tax Paid Receipt (latest)

Ewa PAzAi gâ w

6).Photocopy of the Rental Agreement / lease deed (which is notarized) if the applicant is a legal tenant

rU Pgg v / ø rq (lj iqz )

7) Proprietorship Declaration/ Partnership deed/ Articles of Association and Memorandum

iPvz Wõu/zjPAi Pgg v

8).Refrigerator Invoice / Declaration

vPAiAvz Rjâ / Wõu v

9).Competent person Proforma

zP Q êP v

10).Photocopy of qualification certificate and experience certificate of the proposed

competent person

zP QAi zv U CĨs vU)

11).Affidavit of the Competent Person on a stamp paper of Rs. 20 /- which has to be

notarized (20.g.Aq åg ï zP wAi zs v ( ljAz zrPv

VgvPz )

12) Plan /sketch of the proposed sales premises showing the dimensions of the area. It

should contain the name and address of the premises and duly signed by the

applicant.

Dgtz P

 

13).Address Proof of the applicant

Cfzgg iw

 

14).Photos (Competent person:- Post card size I and Pass Port size 2;) and One passport

size photo of the Proprietor/ Partners/ Directors

J) zP QAi s av ø Pq-1, l d 2,

) iPg/ zgg/qgPg s av MAz sl e

 

15) Documentary evidence from the concerned Government agency that the proposed

premises for which the said application is made is a commercial property.

 

Ul Ozs gV qAiĮ AAzl Pj ESɬAz Plq

g GzñPV CĪwAiģ qɢgĪ zrPv v Īz.

 

15) Area of the Premises for which application is made shall not be less than

1) 10 sq. meters in case of licence in forms 20B & 21B (wholesale)

 

Ƹ gU qAiĮ igl Cgtz t F PɼPAq gvUU Mngvz.

1) 20-21-Ul Ozs gU AdgwUV -10 Zzg lgUVAv Pr

Eggz

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK LIST OF DOCUMENTS TO BE SUBMITTED WHILE APPLYING FOR THE GRANT OF FRESH LICENCES IN FORMS 20, 21, 20B and 21B

(Retail and Wholesale)

 

 

1) Covering Letter (Application)

Cgt v

2).Form-19 (Two ;numbers )

Cf ƣ -19

3).Additional Information Sheet

CP iw

4). Fees of Rs.6000/- to be Paid in the following Head of Account through Govt

challan at SBM, Treasury Branch Ashoka Road , Mysuru

Į g 6000 F PɼPAq P öPU Pj Z SAvg J Ji Se S CP g ʸj w vPz

0210 Medical and Public Health

04 Public Health , 104 Fees etc,

201 Drugs and Cosmetics Act and

Rules Drugs Control Department

 

5).Photocopy of the Tax Paid Receipt (latest)

Ewa PAzAi gâ w

6).Photocopy of the Rental Agreement / lease deed (which is notarized) if the applicant is a legal tenant

rU Pgg v / ø rq (lj iqz )

7) Proprietorship Declaration/ Partnership deed/ Articles of Association and Memorandum

iPvz Wõu/zjPAi Pgg v

8).Refrigerator Invoice / Declaration

vPAiAvz Rjâ / Wõu v

9).Qualified Person Proforma in respect of the Registered Pharmacist

Cv QAi êP v

10).Photocopy and Original Diploma in pharmacy certificate and Karnataka State

Pharmacy Council Certificate

r si v PlP gd Ozs eУ jwۣ Azt it v (Ʈ

v egP wU)

11).Affidavit of the Qualified Person on a stamp paper of Rs. 20 /- which has to be

notarized (20.g.Aq åg ï Cv wAi zs v ( ljAz zrPv

VgvPz )

12) Plan /sketch of the proposed sales premises showing the dimensions of the area. It

should contain the name and address of the premises and duly signed by the

applicant.

Dgtz P

 

13).Address Proof of the applicant

Cfzgg iw,

 

14).Option and Approval Form in duplicate.

Cv v CĪzAi ƣ wU

 

15).Photos (Qualified Person :-Post card size I and Pass Port size 2;) and One passport

size photo of the Proprietor/ Partners/ Directors

J) Cv QAi s av ø Pq-1, l d 2,

) iPg/ zgg/qgPg s av MAz sl e

7) Area of the Premises for which application is made shall not be less than

1) 15 sq. meters in case of licence in forms 20 ,21, and 20B, 21B.

 

Ƹ gU qAiĮ igl Cgtz t F PɼPAq gvUU Mngvz.

1)       20-21/ 20-21-ag v Ul Ozs gUUV 15 Zzg lg UVAv Pr

Eggz

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHECK LIST OF DOCUMENTS TO BE SUBMITTED WHILE APPLYING FOR THE GRANT OF FRESH LICENCESS IN FORMS 20A and 21A

(Restricted licences )

 

1) Covering Letter (Application)

Cgt v

2).Form-19A

Cf ƣ -19 J

3).Additional Information Sheet

CP iw

4). Fees of Rs.1000/- to be Paid in the following Head of Account through Govt

challan at SBM, Treasury Branch Ashoka Road , Mysuru

Į g 1000 F PɼPAq P öPU Pj Z SAvg J Ji Se S, CP g ʸj w vPz

0210 Medical and Public Health

04 Public Health , 104 Fees etc,

201 Drugs and Cosmetics Act and

Rules Drugs Control Department

 

5).Photocopy of the Tax Paid Receipt (latest)

Ewa PAzAi gâ w

6).Photocopy of the Rental Agreement / lease deed (which is notarized) if the applicant is a legal tenant

rU Pgg v / ø rq (lj iqz )

7) Proprietorship Declaration/ Partnership deed/ Articles of Association and Memorandum

iPvz Wõu/zjPAi Pgg v

8) Plan /sketch of the proposed sales premises showing the dimensions of the area. It

should contain the name and address of the premises and duly signed by the

applicant.

Dgtz P

 

9.Address Proof of the applicant

Cfzgg iw,

 

10).Photos ( One passport size photo of the Proprietor/ Partners/ Directors )

iPg/ zgg/qgPg s av MAz sl e

 

 

 

 

 

 

CHECK LIST OF DOCUMENTS TO BE SUBMITTED WHILE APPLYING FOR THE GRANT OF FRESH LICENCESS IN FORMS 20BB and 21BB

(Motor Vehicle Licenses)

 

1) Covering Letter (Application)

Cgt v

2).Form-19AA

Cf ƣ -19 J

3).Additional Information Sheet

CP iw

4). Fees of Rs.500 /- per license to be Paid in the following Head of Account through

Govt challan at SBM, Treasury Branch Ashoka Road , Mysuru

Į g 500/ -F PɼPAq P öPU Pj Z SAvg J Ji

Se S, CP g ʸj w vPz

0210 Medical and Public Health

04 Public Health , 104 Fees etc,

201 Drugs and Cosmetics Act and Rules

Drugs Control Department

 

5) Photocopy of the vehicle registration certificate

z Azt itvz bAiiw.

 

6) Photo of the vehicle showing the registration number.

z AzuAiģ AgĪ z sav

 

7) Proprietorship Declaration/ Partnership deed/ Articles of Association and

Memorandum

iPvz Wõu/zjPAi Pgg v

 

9.Address Proof of the applicant

Cfzgg iw,

 

10).Photos ( One passport size photo of the Proprietor/ Partners/ Directors )

iPg/ zgg/qgPg s av MAz sl e

 

 

 

 

 

 

 

 

 

 

 

FORM-19

[see Rule 59 (2) ]

 

(Application for grant or renewal of a licence to sell, stock or exhibit or offer for

sale or distribute) drugs other than those specified in Schedule X

 

1. I/We of.

hereby apply for a licence to sell by Wholesale / Retail drugs specified in Schedules C and C(1) excluding those specified in Schedyule X and /or drugs other than those specified in Schedules C and C (1) to the Drugs and Cosmetics Rules ,1945 and also to operate a Pharmacy on the premises situated

at..

2. The sale and dispensing of drug will be made under the personal supervision of

qualified person

 

(Name)..(Qualifications)...

(Name). (Qualifications)....

 

3. Categories of drugs to be sold

 

4. Particulars of storage accommodation for Schedules C and C (I) drugs

in the Premises referred to above .

 

...

 

5. A fee of rupees .

 

Has been credited to Government under the Head of account ..

 

..

 

Date Signature

 

 

 

 

 

 

 

 

 

 

FOR OFFICE USE ONLY

 

Ref.No DCD ADCD/BNG11/../LS/99issued fresh..........

 

Licence (s) in form (s) .dated ..renewed vide...

 

Certificares in Form 21 C Nosdated to the

 

Application for categories of drugs (Refrigerator Provided)

 

With the Q.P/C.P ..

 

Asst, Drugs Controller Licencing Authority & Asst Drugs Controller

RECEIPT

 

Received application (s) for grant /renewal of licence (s)

(contest not verified)

 

Licencing Authority &

Asst Drugs Controller

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(FORM 19-A)

[See Rule 59 (2)]

 

[Application for grant or renewal of a restricted licence to sell , stock or exhibit (or offer) for sale, or distribute drugs by retail by dealers who do not engage service of a qualified person ]

 

1. I/We_________________________of______________hereby ___________apply

for a licence to sell by retail

 

(i) Drugs other than those specified in schedules C and C (1) and X on the Premises

 

situated at____________

 

(ii) Drugs specified in [schedule C (1) ] on the premises situated at ____________

 

____________________________________________________________________

Drugs specified in [Schedule C (1) as vendor in the area

 

2. Sales shall be restricted to such drugs as can be sold without the supervision of a

qualified person under the Drugs and Cosmetics Rules

 

3. Names or classes of drugs proposed to be sold..

 

4. Particulars of the storage accommodation for the storage of [Schedules C (1) drugs

 

on the premises referred to above.

 

5.The drugs for sale will be purchased from the following dealers and such other

dealers as may be endorsed on the licence by the licensing authority from time to

time.

 

Name of the dealers licence No.

6.Afee of rupees___________has been credited to Government under the

head of account ..

 

Date Inspector

 

 

 

 

(FORM 19-C)

[See Rule 59 (2)]

 

Application for grant or renewal of a [licence to sell , stock , exhibit or offer for sale or distribute] of drugs specified in Schedule X,

 

1.I/Weof..here by apply for a licence to sell by

wholesale/ retail drugs specified in Schedule X to the Drugs and Cosmetics

Rules, 1945 We operate a Pharmacy on Premises sitanted at.

 

2. The sale an dispensing of drugs will be made under the personal supervision of

the qualified persons mentioned below,

 

. (Name)(Qualifications)

..(Name)( Qualifications)

3.Name of drugs to be sold .

4.Particulars of storage accomdation

 

5.A fee........has been credited to Government account under the head of account

 

.

Date. Signature ....

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(FORM -19 AA)

[ See Rule 62-C]

 

Application for grant or renewal of a [licence to sell, stock or exhibit or offer for sale by wholesale or distribute] drugs from a motor vehicle

 

1. I/we of..here by apply for [licence to sell, stock or exhibit or offer for sale by wholesale or distribute] drugs specified in Schedule C and C (1) and /or drugs other than those specified in Schedule C and Schedule C (1) from the vehicle bearing registration Noassigned under the Motor Vehicle Act, 1939.

 

2. Categories of drugs to be sold /distributed___

.

.

.

 

3.A Fee of rupees has been credited to Government

under the head of account

 

4.Particulars of the storage accommodation for the storage of drugs specified in

schedule C & C (1) on the vehicle referred to above.

 

 

 

Signature.

Date .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL INFORMATION TO BE SUPPLIED WITH THE APPLICATION

IN FORM 19/ 19-A/19AA/19-C

 

1.(a) The Constitution of the firm : Proprietor

ship /Partnership/Company /Private Limited /

Public Limited /Cooperative Society /Registered/

Unregistered. Necessary Documentary evidence like

Partnership deed, Memorandum of Articles etc. should be

submitted

 

(b) Names of all the partners , Directors ,Proprietor

etc. and their full residential address of each:-

 

(1)  

.

(2)   .

.

(3)   .

.

(4)   .

.

(5)   .

.

2.What are the educational qualifications of____

 

(a)    The applicant or/and

(b)   Person in charge of the premises for which licence

is applied for.

 

3. Has the applicant ever engaged himself or on behalf of

any other person in selling drugs any time prior to this

application ? If so, the dates together with necessary

documentary evidence may be supplied (enclosed)

 

4.What other business is carried on by the applicant at present ?

 

5.Is the application for fresh licence or renewal ? .

 

6.Year in which licence was first granted .

 

 

 

 

 

 

 

7.Particulars of licences granted under Drugs Rules.

Form licence No. Date of Issue

20

21

20B

21B

20G

20F

20A

21A

20BB

21BB

8. Was the application ever rejected or licence

previously cancelled or suspended or surrendered ?

If so, for what reason ?

 

9 .Was the applicant ever warned for selling drugs

which were not of standard quality ?

 

10.Was the application or any person at present

employed by him on this premises ever Convicted

and sentenced under _____

 

(a) Drugs and Cosmetics Act, 1940

 

(b) Drugs (Prices Control) Order, 1995 .

 

(c) The Poisons Act, 1919 ..

 

(d) The Pharmacy Act,1948.

 

(e) Any other Act. .. Date of issue

 

11.(a) The Karnataka Poisons Rules, 1966 . Licence No. Date of issue

 

12. Sale of Intoxicants Taxation Act . Licence No. Date of issue

 

13. Spirituous Medicinal Preparations Rules Licence No. Date of issue

 

14.Sales Tax Registration No. Licence No. Date of issue

 

15.Shops and Establishments Act. Licence No. Date of issue

 

 

16.Application fee: Amount Challan No Date of challan

 

 

17.Is the applicant an agent or Distributor of any

drug manufacturing concern ? If so the area of

distribution and date of appointment should be

stated with full particulars .

 

 

The applicant shall inform the licensing Authority

if the agency is terminated any time during which the

licence is in force.

 

18.Is the Firm or Company

(a) Restaurant ? ..

(b) Provision stores ? .

 

(c) Petty Shop ? ..

(d) General Merchant ? ..

(e) Drugs stores ? ..

(f) Chemist and Druggist ? ..

 

(g) Dispensing Chemist ?

 

(h) Distributing Agency ? ..

 

(I) Stockiest ? ..

 

(j) Wholesaler ? ..

 

19.The applicant has in all _____rooms for storage

and sale of drugs, The floor area square feet of each

room must be given with a sketch . .

 

Whether the applicant is a legal tenant or the owner

of the premises ? Necessary documentary evidence

should be enclosed

 

 

 

 

20.The applicant does /does not stock or sell drugs at

any other premises nor he has the office except at the premises

for which this application is made -.

 

OR

The address of other premises are

 

1.

 

2.

 

 

 

21.What class of drugs and cosmetics are stocked

sold or distributed:

 

(a) Poisons . ..

 

(b) Injections. ..

 

(c) Oral Vitamin Products. ..

 

(d) House-hold remedies. .

 

(e)     Tinctures and other Spirituous Preparation .

 

(f) Ayurvedic and Unani Medicines ? .

(g) Homoeopathic medicines .

 

(h) Cosmetics .

 

(i) Veterinary Drugs .

 

22.The applicant deals in the following class of commodities

only, besides drugs on these premises viz,

 

1.

 

2.

 

3.

 

23.Storage facilities.

 

1.Racks. ..

 

2.Locked cupboards ..

 

3. Refrigerator. .

 

4. Cold room. .

 

24. Hours of business and working days.

 

25. Name of the trade or professional Association of which

the applicant is a member and the date of commencement of

membership. ..

 

26. Name / Categories of drugs / proposed to be / are

being sold should be furnished in detail in a list in

triplicate

I certify that all the above information is true and I understand that my application is liable to be rejected summarily or the licence liable to be cancelled forth with if the above information is proved to be false in any particular .

 

Signature of the Applicant

Name in block letters .........................

Place .

Designation ..

Date..

Seal

________________________________________________________________________

Note: Whatever not applicable should be struck off.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dv QAi êP : zuAi U jv

___________________________________________

 

1. AAi ɸg v :

 

2. ʸɣ U gPz Cv qz

QAi ɸg

 

3. ......................................... APAz qĪ

Cv QAi ɸg

 

4. 2 v 3 PArP (g) z wgĪ

Cv QAi ɸgU l FUU

Pɮ iqwgĪ Cv QAi ɸg

 

êP v

 

Ozs v PAwzsP CAiĪ 1940 jv ......................................gg

 

CAUrAiİ OzsU iglz jPuUV Cv qz QAiiV ....................

 

APAz : êP irzê,

 

 

AP ...............................

z :

CAUrAi ɸg v

(ƺjq)

 

F z ƣAi evAiİ PĻPz zRU

 

  1. Ozs ʸ U ƣ 20 & 21.

 

2.r it vz Ʈ v zsrPv : bAiiw.

 

3.PlP si jv۰ Azv itvz Ʈ : zsrPv bAiiw

 

 

 

 

 

 

 

 

1 Dv QAi ɸg :

 

2.Cv qz QAi zv .

 

3.r.siz vUqAiiz v

it vz AS

 

4.C.PlP gd si jwۣ

AzĹz AS.

D.AztAiģ zsrPv irzݰ JAiĪgU

irz ? v Ez JAiĪgU iv qɢz wĪz

 

5.iv qz QU A CĨs Ezݰ Aii

AAi w

 

6.A AAiģ l U ʸɤAU PjAiĪjU

Czs AiP Ozs AiAvPjU wgvgAi ?

Vzݰ Aii vjTAz v gU.

 

Cv QAi ZѽP

______________________

Dz ą

jAz Cv QAiiV Pɮ iq :

AAiİ (êP iq MPArzã. v AAiİ) Pɮ iq J üAiĮ Ozs v PAwzsPU CAiĪ 1940 GAzsU jv Aiīv Cĸa OzsU igl iqĪzg ƮP zݣVgvã Aiiz PgtUAz F AAiģ qĪzzg Cz Pq AiP Ozs AiAvPjU wvã Evg Aiiz AAiįU PgzAiiU Pɮ iqwۮAz F ƮP Wövã ï wgĪ iwU v v jAiiVz JAz F ƮP zsrPjvã.

 

 

Cv QAi ģ

Dv QAi .

 

 

 

 

 

 

Cv QAi zs v

________________________

...........................................................................................................................................

.......................................................................................................z VgĪ

Īig ................................................... AiĹ .............................................

Cz F ƮP v ׬Az iqĪ we KAzg :

 

 

.it v AS ......................................gU..................................

 

z..............................................................jPAiİ GwtVzã U

it v AS ....................................AP.................................................gU

PlP gd s jwۣ Azv si CVzã.

 

 

.....................................................APAz AtV Cv QAiiV

 

Pɮ iqĪ .................................................................................................êP

 

MPArzã, v Ozs U PAwzsPU CAiĪU AiĪi,1940 g

GAzsU jv Aiīv Cĸa JZ v OzsU ag igl jQ F ƮP zݣVgvۣ, Aiiz PgtAz F AAiģ l Pq AAzsl AiP Ozs AiAvPjU U gV PgAiĪjU F U wĪɣ JAz itPjvã

 

Evg Aiiz SV AAiįU PgzAiiU Czs g Ozs CAUrAiįU ê wۮ.

 

U Aii z AAiİ aѣ zsPV jgĪŢAz F ƮP Wövã

ï rgĪ J iwU vVz U jAiiVz JAz F ƮP zsrPjvã.

 

 

 

޼ :-

AP:- ýPzgg .

 

 

 

 

 

 

 

 

 

Ozs v PAwzsP CAiĪ 1940 AiĪ 65 (3) 65 (4) gU

Cv v CĪz ƣ

 

 

 

//.................................................................................................................................................................................................................................................................................................................................................................................

 

zRU lV gAiĮqĪz v Aii ZAi Ez Cv v CĪzAiģ gz iq Aii szP EA gwU Ml Cĸa.JZ.U v .U GTv OzsU zg an gU ig OzsU Azt (jfg) Uz : z ĸPz uU AAz F ƣU F ƮP âvã.szP J zRU âvê, vê. v zj ĸPU Ozs jPPg : jPuPjU Pýz vPt dg rvã : dg rvê JAz Wövã : Wöv۪

 

 

 

 

 

Cv QAi izjAi

Aiidi: AAi zgg

 

 

 

ʸɤAU Pj v AiP Ozs AiAvPg

v-2, ʸg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ʸɣ AS v Adgw AP -------------------------------

PJ:JA J. 20 & 21

:20:- 21-

 

AAi ɸg v :

:--------------------------------------------

--------------------------------------------

--------------------------------------------

--------------------------------------------

 

AAi Cv Q/ zP QAi ɸg

 

 

t ---------------------------------------------------

 

aP -----------------------2)-----------------------------

 

P J Azt AS --------------------------------------

 

AAi Cv Q / zP QAi sav Q

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

vPAiAv õuv

 

ą

 

:

 

 

 

AAi iP/ zgVz F PüUV ggĪ vPAiAv

 

AAiİngvã.

zs

 

vAiigPg:

 

t:

 

z 24 WAmAi vPAiAv ZAiİ Eqvã. v Cz

jAiiV Pg Ī U P vUzPƼvã. OAi ç PArõ

Pg OzsU vP AiAvz zۣ iqvã.

 

iP/ zgg .

 

޼ :- AAi ƺg

 

AP:-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

iPv Wõu v

................................gg Uz /AqwAiiz

 

, êw..............................

 

Aiĸ.........................................................................................................

.............................................................

.............................z Vz

 

:..................................................

...................................................

...............................................g At iPVz A J DUĺUUU dgVzã. gfg si/ zP Q ðZguAiİ Ozs v PAwzsP DAiĪ 1940 v Czg AiĪiU 1945 v Ozs (ɯ AiAvt) Czñ 1995.g Pg Ozs g iqvãAz Wövã

 

 

 

޼ :-

(î)

AP:-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ʸɣ AS v Adgw AP -------------------------------

PJ:JA J. :20:- 21-

 

AAi ɸg v :

:--------------------------------------------

--------------------------------------------

--------------------------------------------

--------------------------------------------

 

 

AAi iPg/ zgg sav v

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

zP QAi êPw : zuAi jv

 

 

1.AAi ɸg v

 

  1. ʸɣU jPz zP QAi ɸg

 

3. APAz l qĪ zP QAi ɸg

 

 

4. 2 v 3 PArP (g) z wgĪ

Cv QAi ɸgU l FUU

Pɮ iqwgĪ Cv QAi ɸg

 

 

 

 

êP v

Ozs v PAwzsP CAiĪ 1940 jv :êw....................................

gg CAUrAiİ OzsU iglz jPuUV qz QAiiV.....................

AP : êP irzê.

 

AP........................

z

CAUrAi ɸg v

(ƺjq)

 

 

 

z ƣAi evAiİ PĻPz zRU

 

1.Ozs ʸɣ U ƣ 20 v 21

2. 4 U 1z (z zv) EgĪjU CĨs v

3. Cqm

4. Jgq savU

5. zv it vU

 

 

 

 

 

 

 

1 zP QAi ɸg

 

2. zP QAi zv

 

3 iv qz QAi A CĨs Ezݰ

Aii AAiİ Pɮ iqwzg v

C AAi w

C : ..............................................Az

..............................................g gU

4 A AAiģ l U ʸɤAU PgAiĪjU

Czs AiP Ozs AiAvPjU wgvgAi ?

Vzݰ Aii vjTAz v gU.

 

 

 

zP QAi ZѽP

 

......................................................Cz ........................................................jAz

zP QAiiV Pɮ iq :..............................................................................

AAiİ êP iq MPArzã v AAiİ Pɮ iq J üAiĮ Ozs v PAwzsPU CAiĪ 1940 GAzsU jv

Aiīv Cĸa OzsU igl iqĪzg ƮP zݣVgvã

Aiiz PgtUAz F AAiģ qĪzzg Cz Pq

AiiP Ozs AiAvPjU wvã Evg Aiiz AAiiU Pg

zAiiU Pɮ iqwۮAz F ƮP Wövã ï iwU v

v jAiiVz JAz F ƮP zsrPjvã.

 

 

 

 

 

zP QAi ģ zP QAi

 

 

 

 

 

 

 

 

 

 

 

 

 

zP QAi zs v

 

------------Aiĸ -------------Ez t

................................................................................................................................

..............................................................................................F ƮP v

֬Az wY iqĪzɣAzg

 

itv AS--------------AP ------g gU

----------------------jPAiİ vUqAiiVgvã U

..........................................................................................................................................

AAiİ -----------------DV AP -----------------JA

-------------------------gU Pɮ irgvã

 

AP -----------jAz u zP QAiiV Pɮ

iq : ---------------------------------------------

t -------------------------------------------

-----------------------------------------------------jê

JA AAiİAi êP MPArgvã U Ozs v PAwzsP

CAiĪU AiĪi 1940 g GAzsU jv Aiīv Cĸa Z

v OzsU Ul igl iq F ƮP zݣVgvã Aiiz PgtAz F AAiģ l Pq AAzsl AiP Ozs AiAvPjU U gV PgAiĪjU Pq wvã

 

Evg Aiiz SV AAiįU PgzAiiU Czs g Aiiz CAUrAiįU ê wۮ.U Aii z AiĮ aѣ zsPV jgĪŢAz F ƮP Wövã

ï rgĪ J iwU vVz U jAiiVz JAz F ƮP zsrPjvã.

 

 

 

޼ :- zP QAi

AP:-