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. It’s 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.

 

Department’s 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 ,  MYSORE CIRCLE/MYSORE DIVISION

 

 In  Mysore , the Drugs Control Department has three offices-

 

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

     Mysore Division

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

3)     Office of the Assistant Drugs Controller,  MYSORE Circle –II

 

 

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

 

  Address-

    Deputy Drugs Controller, Blood Bank and Intelligence Wing,

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

    “ I” Block, Adichunchangiri Road, Kuvempunagar, Mysore-23.

   Phone no- 08212567180

   Fax - 08212567180

 

  e-mail: ddc__mys@yahoo.com  

 

He is having jurisdiction over the following Districts-

1)     Mysore 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 , Mysore Circle-I

 

  Address-

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

    Complex,  “ I” Block, Adichunchangiri Road, Kuvempunagar, Mysore-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, Mysore 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 Mysore City

Comprising of

570001,570002, 570005

570007, 570009, 570012,

570020, 570021, 570022,

570024, 570025, 570026

 

 

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

 

 

  Address-

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

    Jwalamukhi Complex, “ I” Block, Adichunchangiri Road, Kuvempunagar,

     Mysore-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, Mysore Circle-II

a.Entire  T.Narasipura Taluk

b. Entire Nanjunagud Taluk

c. Entire Mysore Taluk

d. Postal Pincode of Mysore City

Comprising of

570004,570006, 570008

570010, 570011, 570014,

570015, 570016, 570019,

570023, 570029, and

Any pincode left over in Mysore Circle I

Area and also any pincode  newly

forming in future.

 

 

 

 

 

Organisation Structure of the office of Assistant Drugs Controller, Mysore 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, Mysore Division

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

     Circle-I

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

     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)

       CªÀgÀt ¥ÀvÀæ

2).Form-19

      Cfð £ÀªÀÄÆ£É -19

3).Additional Information Sheet

      C¢üPÀ ªÀiÁ»w ºÁ¼É

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

     challan at SBM, Treasury Branch Ashoka Road , Mysore

   ±ÀĮ̠ gÀÆ 3000 F PɼÀPÀAqÀ ¯ÉPÀÌ ²Ã¶ðPUÉ ¸ÀPÁðj ZÀ®£À ªÀÄÄSÁAvÀgÀ J¸ï © JªÀiï SeÁ£É ±ÁSÉ, C±ÉÆÃPÀ gÀ¸ÉÛ ªÉÄʸÀÆj£À°è ¥ÁªÀw¸À vÀPÀÌzÀÄÝ 

 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)

    EwÛÃa£À PÀAzÁAiÀÄ gÀ²Ã¢ ¥Àæw

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

   ¨ÁrUÉ PÀgÁgÀÄ ¥ÀvÀæ / °Ã¸ï rÃqï (£ÉÆÃlj ªÀiÁqÀ¯ÁzÀ )

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

   ªÀiÁ°PÀvÀézÀ WÉÆÃµÀuÉ/¥Á®ÄzÁjPÉAiÀÄ PÀgÁgÀÄ ¥ÀvÀæ

8).Refrigerator Invoice / Declaration

   ²ÃvÀPÀAiÀÄAvÀæzÀ Rjâ ©®Äè/ WÉÆÃµÀuÉ ¥ÀvÀæ

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

     CºÀðvÁ ªÀåQÛAiÀÄ £ÉêÀÄPÀ ¥ÀvÀæ

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

      Pharmacy Council Certificate

      r ¥sÁªÀiÁð ªÀÄvÀÄÛ PÀ£ÁðlPÀ gÁdå OµÀzsÀ «eÁУÀ ¥ÀjµÀwÛ£À £ÉÆÃAzÀt ¥ÀæªÀiÁt ¥ÀvÀæ (ªÀÄÆ®

    ªÀÄvÀÄÛ eÉÃgÁPïì ¥ÀæwUÀ¼ÀÄ)

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

      notarized (20.gÀÆ.¨ÁAqï ¥ÉÃ¥Àgï ªÉÄÃ¯É CºÀðvÀ ªÀåwÛAiÀÄ ±À¥ÀzsÀ ¥ÀvÀæ ( £ÉÆÃlj¬ÄAz zÀÈrüPÀÈvÀ

   ªÁVgÀvÀPÀzÀÄÝ ) 

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.

       DªÀgÀtzÀ  £ÀPÉë

 

13).Address Proof of the applicant

    CfðzÁgÀgÀ «¼Á¸À ªÀiÁ»w

 

14).Option and Approval Form in duplicate.

    C©üªÀÄvÀ ªÀÄvÀÄÛ C£ÀÄªÉÆÃzÀ£ÉAiÀÄ £ÀªÀÄÆ£É  ¢é¥ÀæwUÀ¼ÀÀ°è 

 

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

size photo of the Proprietor/ Partners/ Directors

     J) CºÀðvÁ ªÀåQÛAiÀÄ ¨sÁªÀ avÀæ ¥ÉÆÃ¸ï PÁqÀð-1, ¥Á¸ï ¥ÉÆÃlð ¸ÉÊdÄ 2,

   ©) ªÀiÁ°ÃPÀgÀÄ/ ¥Á®ÄzÁgÀgÀÄ/qÉÊgÉÃPÀÖgï ¨sÁªÀ avÀæ MAzÀÄ ¥Á¸ï ¥sÉÆÃlð ¸ÉÊeï   

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.

 

 ºÉƸÀ ¥ÀgÀªÁzÀUÉ ¥ÀqÉAiÀÄ®Ä ªÀiÁgÁl CªÀgÀtzÀ «¹ÛÃtð F PɼÀPÀAqÀ µÀgÀvÀÄÛUÀ½UÉ M¼À¥ÀnÖgÀÄvÉÛzÉ

1)       20-21-a®ègÉ OóµÀzsÀ ¥ÀgÀªÁ¤UÉ ªÀÄAdÆgÁwUÁV-10 ZÀzÀgÀ «ÄÃlgïUÀ½VAvÀ PÀrªÉÄ EgÀ¨ÁgÀzÀÄ 

 

2)       20-21/ 20©-21©-a®ègÉ ªÀÄvÀÄÛ ¸ÀUÀlÄ OµÀzsÀ ¥ÀgÀªÁ¤UÉUÁV 15 ZÀzÀgÀ «ÄÃlgï UÀ½VAvÀ PÀrªÉÄ

   EgÀ¨ÁgÀzÀÄ 

 

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.

 

 

µÀgÁ1 1) C£ÀĸÀÆa JPÀì £À°è OµÀzsÀUÀ¼À£ÀÄß ¸ÀUÀlÄ ªÁå¥ÁgÀ ªÀiÁqÀ®Ä EaѸÀĪÀªÀgÀÄ ¸À°è¹gÀĪÀ zÁR¯ÁwUÀ¼À dÆvÉUÉ 19¹ Cfð £ÀªÀÄÆ£É ºÁUÀÆ gÀÆ 500 gÀ ZÀ®£ï£ÉÆA¢UÉ ªÉÄîÍAqÀ ¯ÉPÀÌ ²Ã¶ðPÉ AiÀÄ°è ºÀt ¸ÀAzÁAiÀÄ ªÀiÁr, 20f ¥ÀgÀªÁ£ÀVAiÀÄ£ÀÄß ¥ÀqÉAiÀħºÀÄzÀÄ.

    

    2) C£ÀĸÀÆa JPÀì £À°è OµÀzsÀUÀ¼À£ÀÄß a®ègÉ ªÁå¥ÁgÀ ªÀiÁqÀ®Ä EaÒ¸ÀĪÀªÀgÀÄ ¸À°è¹gÀĪÀ zÁR¯ÁwUÀ¼À dÆvÉUÉ 19¹ Cfð £ÀªÀÄÆ£É ºÁUÀÆ gÀÆ 500 gÀ ZÀ®£ï£ÉÆA¢UÉ ªÉÄîÍAqÀ ¯ÉPÀÌ ²Ã¶ðPÉ AiÀÄ°è ºÀt ¸ÀAzÁAiÀÄ ªÀiÁr, 20ZÁ¥À ¥ÀgÀªÁ£ÀVAiÀÄ£ÀÄß ¥ÀqÉAiÀħºÀÄzÀÄ.

 

 .

 

 

 

 

 

 

 

 

 

 

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)

       CªÀgÀt ¥ÀvÀæ

2).Form-19

      Cfð £ÀªÀÄÆ£É -19

3).Additional Information Sheet

      C¢üPÀ ªÀiÁ»w ºÁ¼É

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

     challan at SBM, Treasury Branch Ashoka Road , Mysore

   ±ÀĮ̠ gÀÆ 3000 F PɼÀPÀAqÀ ¯ÉPÀÌ ²Ã¶ðPUÉ  ¸ÀPÁðj ZÀ®£À ªÀÄÄSÁAvÀgÀ J¸ï © JªÀiï ReÁ£É ±ÁSÉ, C±ÉÆÃPÀ gÀ¸,ÉÛ ªÉÄʸÀÆj£À°è ¥ÁªÀw¸À vÀPÀÌzÀÄÝ 

 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)

    EwÛÃa£À PÀAzÁAiÀÄ gÀ²Ã¢ ¥Àæw

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

   ¨ÁrUÉ PÀgÁgÀÄ ¥ÀvÀæ / °Ã¸ï rÃqï (£ÉÆÃlj ªÀiÁqÀ¯ÁzÀ )

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

   ªÀiÁ°PÀvÀézÀ WÉÆÃµÀuÉ/¥Á®ÄzÁjPÉAiÀÄ PÀgÁgÀÄ ¥ÀvÀæ

8).Refrigerator Invoice / Declaration

   ²ÃvÀPÀAiÀÄAvÀæzÀ Rjâ ©®Äè/ WÉÆÃµÀuÉ ¥ÀvÀæ

9).Competent person Proforma

     zÀPÀë ªÀåQÛ £ÉêÀÄPÀ ¥ÀvÀæ

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

       competent person 

     zÀPÀë ªÀåQÛAiÀÄ «zÁåºÀðvÁ ºÁUÀÆ C£ÀĨsÀªÀ ¥ÀævÀUÀ¼ÀÄ)

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

      notarized (20.gÀÆ.¨ÁAqï ¥ÉÃ¥Àgï ªÉÄï   zÀPÀë ªÀåwÛAiÀÄ ±À¥ÀzsÀ ¥ÀvÀæ ( £ÉÆÃlj¬ÄAz zÀÈrüPÀÈvÀ

   ªÁVgÀvÀPÀzÀÄÝ ) 

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.

       DªÀgÀtzÀ  £ÀPÉë

 

13).Address Proof of the applicant

    CfðzÁgÀgÀ «¼Á¸À ªÀiÁ»w 

 

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

size photo of the Proprietor/ Partners/ Directors

     J) zÀPÀë  ªÀåQÛAiÀÄ ¨sÁªÀ avÀæ ¥ÉÆÃ¸ï PÁqÀð-1, ¥Á¸ï ¥ÉÆÃlð ¸ÉÊdÄ 2,

   ©) ªÀiÁ°ÃPÀgÀÄ/ ¥Á®ÄzÁgÀgÀÄ/qÉÊgÉÃPÀÖgï ¨sÁªÀ avÀæ MAzÀÄ ¥Á¸ï ¥sÉÆÃlð ¸ÉÊeï  

 

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

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

 

      ¸ÀUÀlÄ OµÀzsÀ ¥ÀgÀªÁ£ÀV ¥ÀqÉAiÀÄ®Ä ¸ÀA§AzÀ¥ÀlÖ ¸ÀPÁðj E¯ÁSɬÄAzÀ PÀl×qÀªÀÅ  

    ªÁå¥ÁgÀ GzÉÝñÀPÁÌV C£ÀĪÀÄwAiÀÄ£ÀÄß ¥ÀqÉ¢gÀĪÀ zÀÈrÃPÀÈvÀ ¥ÀvÀæªÀ£ÀÄß ¸À°è¸ÀĪÀÅzÀÄ.

     

 

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)

 

    ºÉƸÀ ¥ÀgÀªÁ¤UÉ ¥ÀqÉAiÀÄ®Ä ªÀiÁgÁl CªÀgÀtzÀ «¹ÛÃtð F PɼÀPÀAqÉ µÀgÀvÀÄÛUÀ½UÉ M¼À¥ÀnÖgÀÄvÀÛzÉ.

    1) 20©-21©-¸ÀUÀlÄ OµÀzsÀ ¥ÀgÀªÁ¤UÉ ªÀÄAdÆgÁwUÁV -10 ZÀzÀgÀ «ÄÃlgïUÀ½VAvÀ PÀrªÉÄ

      EgÀ¨ÁgÀzÀÄ

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

           

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)

       CªÀgÀt ¥ÀvÀæ

2).Form-19  (Two ;numbers )

      Cfð £ÀªÀÄÆ£É -19

3).Additional Information Sheet

      C¢üPÀ ªÀiÁ»w ºÁ¼É

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

     challan at SBM, Treasury Branch Ashoka Road , Mysore

   ±ÀĮ̠ gÀÆ 6000 F PɼÀPÀAqÀ ¯ÉPÀÌ ²Ã¶ðPÀUÉ ¸ÀPÁðj ZÀ®£À ªÀÄÄSÁAvÀgÀ J¸ï © JªÀiï SeÁ£É ±ÁSÉ  C±ÉÆÃPÀ gÀ¸ÉÛ ªÉÄʸÀÆj£À°è ¥ÁªÀw¸À vÀPÀÌzÀÄÝ 

 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)

    EwÛÃa£À PÀAzÁAiÀÄ gÀ²Ã¢ ¥Àæw

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

   ¨ÁrUÉ PÀgÁgÀÄ ¥ÀvÀæ / °Ã¸ï rÃqï (£ÉÆÃlj ªÀiÁqÀ¯ÁzÀ )

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

   ªÀiÁ°PÀvÀézÀ WÉÆÃµÀuÉ/¥Á®ÄzÁjPÉAiÀÄ PÀgÁgÀÄ ¥ÀvÀæ

8).Refrigerator Invoice / Declaration

   ²ÃvÀPÀAiÀÄAvÀæzÀ Rjâ ©®Äè/ WÉÆÃµÀuÉ ¥ÀvÀæ

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

     CºÀðvÁÀ ªÀåQÛAiÀÄ £ÉêÀÄPÀ ¥ÀvÀæ

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

      Pharmacy Council Certificate

      r ¥sÁªÀiÁð ªÀÄvÀÄÛ PÀ£ÁðlPÀ gÁdå OµÀzsÀ «eÁУÀ ¥ÀjµÀwÛ£À £ÉÆÃAzÀt ¥ÀæªÀiÁt ¥ÀvÀæ (ªÀÄÆ®

    ªÀÄvÀÄÛ eÉÃgÁPïì ¥ÀæwUÀ¼ÀÄ)

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

      notarized (20.gÀÆ.¨ÁAqï ¥ÉÃ¥Àgï ªÉÄÃ¯É CºÀðvÀ ªÀåwÛAiÀÄ ±À¥ÀzsÀ ¥ÀvÀæ ( £ÉÆÃlj¬ÄAz zÀÈrüPÀÈvÀ

   ªÁVgÀvÀPÀzÀÄÝ ) 

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.

       DªÀgÀtzÀ  £ÀPÉë

 

13).Address Proof of the applicant

    CfðzÁgÀgÀ «¼Á¸À ªÀiÁ»w, 

 

14).Option and Approval Form in duplicate.

    C©üªÀÄvÀ ªÀÄvÀÄÛ C£ÀÄªÉÆÃzÀ£ÉAiÀÄ £ÀªÀÄÆ£É  ¢é¥ÀæwUÀ¼ÀÀ°è 

 

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

size photo of the Proprietor/ Partners/ Directors

     J) CºÀðvÁ ªÀåQÛAiÀÄ ¨sÁªÀ avÀæ ¥ÉÆÃ¸ï PÁqÀð-1, ¥Á¸ï ¥ÉÆÃlð ¸ÉÊdÄ 2,

   ©) ªÀiÁ°ÃPÀgÀÄ/ ¥Á®ÄzÁgÀgÀÄ/qÉÊgÉÃPÀÖgï ¨sÁªÀ avÀæ MAzÀÄ ¥Á¸ï ¥sÉÆÃlð ¸ÉÊeï   

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.

 

 ºÉƸÀ ¥ÀgÀªÁ¤UÉ ¥ÀqÉAiÀÄ®Ä ªÀiÁgÁl CªÀgÀtzÀ «¹ÛÃtð F PɼÀPÀAqÉ µÀgÀvÀÄÛUÀ½UÉ M¼À¥ÀnÖgÀÄvÀÛzÉ.

1)       20-21/ 20©-21©-a®ègÉ ªÀÄvÀÄÛ ¸ÀUÀlÄ OµÀzsÀ ¥ÀgÀªÁ¤UÉUÁV 15 ZÀzÀgÀ «ÄÃlgï UÀ½VAvÀ PÀrªÉÄ

   EgÀ¨ÁgÀzÀÄ 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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)

       CªÀgÀt ¥ÀvÀæ

2).Form-19A 

      Cfð £ÀªÀÄÆ£É -19 J

3).Additional Information Sheet

      C¢üPÀ ªÀiÁ»w ºÁ¼É

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

     challan at SBM, Treasury Branch Ashoka Road , Mysore

   ±ÀĮ̠ gÀÆ 1000 F PɼÀPÀAqÀ ¯ÉPÀÌ ²Ã¶ðPÀUÉ ¸ÀPÁðj ZÀ®£À ªÀÄÄSÁAvÀgÀ J¸ï © JªÀiï SeÁ£É ±ÁSÉ, C±ÉÆÃPÀ gÀ¸ÉÛ ªÉÄʸÀÆj£À°è ¥ÁªÀw¸À vÀPÀÌzÀÄÝ 

 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)

    EwÛÃa£À PÀAzÁAiÀÄ gÀ²Ã¢ ¥Àæw

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

   ¨ÁrUÉ PÀgÁgÀÄ ¥ÀvÀæ / °Ã¸ï rÃqï (£ÉÆÃlj ªÀiÁqÀ¯ÁzÀ )

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

   ªÀiÁ°PÀvÀézÀ WÉÆÃµÀuÉ/¥Á®ÄzÁjPÉAiÀÄ PÀgÁgÀÄ ¥ÀvÀæ

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.

       DªÀgÀtzÀ  £ÀPÉë

 

9.Address Proof of the applicant

    CfðzÁgÀgÀ «¼Á¸À ªÀiÁ»w, 

 

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

  ªÀiÁ°ÃPÀgÀÄ/ ¥Á®ÄzÁgÀgÀÄ/qÉÊgÉÃPÀÖgï ¨sÁªÀ avÀæ MAzÀÄ ¥Á¸ï ¥sÉÆÃlð ¸ÉÊeï   

 

 

 

 

 

 

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)

       CªÀgÀt ¥ÀvÀæ

2).Form-19AA 

      Cfð £ÀªÀÄÆ£É -19 J

3).Additional Information Sheet

      C¢üPÀ ªÀiÁ»w ºÁ¼É

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 , Mysore

  ±ÀĮ̠ gÀÆ 500/ -F PɼÀPÀAqÀ ¯ÉPÀÌ ²Ã¶ðPUÉ ¸ÀPÁðj ZÀ®£À ªÀÄÄSÁAvÀgÀ J¸ï © JªÀiï

  SeÁ£É ±ÁSÉ, C±ÉÆÃPÀ  gÀ¸ÉÛ ªÉÄʸÀÆj£À°è ¥ÁªÀw¸À vÀPÀÌzÀÄÝ 

   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   

     ªÁºÀ£ÀzÀ £ÉÆÃAzÀt ¥ÀæªÀiÁt¥ÀvÀæzÀ bÁAiÀiÁ¥Àæw.

 

6) Photo of the vehicle showing the registration number.

    ªÁºÀ£ÀzÀ  £ÉÆÃAzÀuÉAiÀÄ£ÀÄß ºÉÆA¢gÀĪÀ  ªÁºÀ£ÀzÀ ¨sÁªÀavÀæ 

 

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

     Memorandum  

      ªÀiÁ°PÀvÀézÀ WÉÆÃµÀuÉ/¥Á®ÄzÁjPÉAiÀÄ PÀgÁgÀÄ ¥ÀvÀæ

 

9.Address Proof of the applicant

    CfðzÁgÀgÀ «¼Á¸À ªÀiÁ»w, 

 

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

   ªÀiÁ°ÃPÀgÀÄ/ ¥Á®ÄzÁgÀgÀÄ/qÉÊgÉÃPÀÖgï ¨sÁªÀ avÀæ MAzÀÄ ¥Á¸ï ¥sÉÆÃlð ¸ÉÊeï   

 

 

 

 

 

 

 

                          

 

                              

 

 

 

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/9………9……issued fresh..........

 

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

 

Certificares in Form 21 C Nos………………dated …………………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/We………………of……………..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 No……………assigned 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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 DºÀðvÁ ªÀåQÛAiÀÄ £ÉêÀÄPÀ : §zÀ¯ÁªÀuÉAiÀÄ §UÉÎ ¥Àj¥ÀvÀ

___________________________________________

 

1. ¸ÀA¸ÉÞAiÀÄ ºÉ¸ÀgÀÄ ªÀÄvÀÄÛ «¼Á¸À :

 

2. ¯Éʸɣïì UÀ¼À°è ¸ÉÃgÀ¨ÉÃPÁzÀ CºÀðvÉ ¥ÀqÉzÀ

   ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

3. ......................................... ¢£ÁAPÀ¢AzÀ ©qÀĪÀ

 CºÀðvÁ ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

4. 2£Éà ªÀÄvÀÄÛ 3£Éà PÀArPÉ (¥ÁågÀ) zÀ°è w½¹gÀĪÀ

  CºÀðvÁ ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄUÀ¼À£ÀÄß ©lÄÖ FUÁUÀ¯ÉÃ

  PÉ®¸À ªÀiÁqÀÄwÛgÀĪÀ CºÀðvÁ ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

                          £ÉêÀÄPÀ ¥ÀvÀæ

 

 OµÀzsÀ ªÀÄvÀÄÛ PÁAwªÀzsÀðPÀ C¢ü¤AiÀĪÀÄ 1940 jÃvÁå ²æÃ ......................................gÀªÀgÀ£ÀÄß

 

CAUÀrAiÀİè OµÀzsÀUÀ¼À ªÀiÁgÁlzÀ ¥Àj«ÃPÀëuÉUÁV CºÀðvÉ ¥ÀqÉzÀ ªÀåQÛAiÀiÁV ....................

 

¢£ÁAPÀ¢AzÀ £Á£ÀÄ : £ÁªÀÅ £ÉêÀÄPÀ ªÀiÁrzÉÝêÉ,

 

 

¢£ÁAPÀ ...............................                       ¸À»

                                            ¥ÀzÀ £ÁªÀÄ:

                                            CAUÀrAiÀÄ ºÉ¸ÀgÀÄ ªÀÄvÀÄÛ «¼Á¸À

                                               (ªÉƺÀj£ÉÆqÀ£É)

 

F ¤zÀ±Àð£À £ÀªÀÄÆ£ÉAiÀÄ eÉÆvÉAiÀİè PÀ¼ÀÄ»¸À¨ÉÃPÁzÀ zÁR¯ÉUÀ¼ÀÄ

 

  1. OµÀzsÀ ¯ÉʸÀ£ïì UÀ¼À £ÀªÀÄÆ£É 20 & 21.

 

   2.r¥ÉÆèªÉÆÃ ¥ÀæªÀiÁt ¥ÀvÀæzÀ ªÀÄÆ® ªÀÄvÀÄÛ zsÀÈrüÃPÀÈvÀ : bÁAiÀiÁ¥Àæw.

 

   3.PÀ£ÁðlPÀ ¥sÁªÀiÁð¹ ¥ÀjµÀvÀÛ°è £ÉÆAzÁ¬ÄvÀ ¥ÀæªÀiÁt¥ÀvÀæzÀ ªÀÄÆ® : zsÀÈrüÃPÀÈvÀ  bÁAiÀiÁ¥Àæw

 

                               

 

 

 

 

 

 

 

1 DºÀðvÁ ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ :

 

2.CºÀðvÉ ¥ÀqÉzÀ ªÀåQÛAiÀÄ «zÁåºÀðvÉ .

 

3.r.¥sÁªÀiÁðzÀ°è vÉÃUÀðqÉAiÀiÁzÀ ªÀµÀð ªÀÄvÀÄÛ

    ¥ÀæªÀiÁt ¥ÀvÀæzÀ ¸ÀASÉå

 

4.C.PÀ£ÁðlPÀ gÁdå ¥sÁªÀið¹ ¥ÀjµÀwÛ£À°è

  £ÉÆAzÁ¬Ä¹zÀ ¸ÀASÉå.

 

  D.£ÉÆAzÀtÂAiÀÄ£ÀÄß zsÀÈrÃPÀÈvÀ ªÀiÁrzÀݰè J°èAiÀĪÀgÉUÉ

  ªÀiÁrzÉ ? ªÀÄvÀÄÛ EzÀÄ J°èAiÀĪÀgÉUÉ ªÀiÁ£ÀåvÉ ¥ÀqÉ¢zÉ w½¸ÀĪÀÅzÀÄ

 

5.ªÀiÁ£ÀåvÉ ¥ÀqÉzÀ ªÀåQÛUÉ »A¢£À C£ÀĨsÀªÀ EzÀݰè AiÀiÁªÀ

 ¸ÀA¸ÉÞAiÀÄ «¼Á¸ÀªÀ£ÀÄß w½¹

 

6.»A¢£À ¸ÀA¸ÉÞAiÀÄ£ÀÄß ©lÖ §UÉÎ ¯ÉʸɤìAUï ¥Áæ¢üPÁjAiÀĪÀjUÉ

  CzsÀªÁ ¸ÀºÁAiÀÄPÀ OµÀzsÀ ¤AiÀÄAvÀæPÀjUÉ w½¹gÀÄvÁÛgÉAiÉÄà ?

  ºÁVzÀݰè AiÀiÁªÀ vÁjÃT¤AzÀ ªÀÄvÀÄÛ «ªÀgÀUÀ¼ÀÄ.

                      

 

                       CºÀðvÁ ªÀåQÛAiÀÄ ªÀÄÄZÀѽPÉ

                      ______________________

………………………………………………………………………………………………DzÀ £Á£ÀÄ…………………………………………………………………………

jAzÀ CºÀðvÁ ªÀåQÛAiÀiÁV PÉ®¸À ªÀiÁqÀ®Ä ªÉÄ:……………………………………………………………………………………………

¸ÀA¸ÉÞAiÀİè (£ÉêÀÄPÀ ªÀiÁqÀ®Ä M¦àPÉÆArzÉÝãÉ. ªÀÄvÀÄÛ ¸ÀA¸ÉÞAiÀİè) PÉ®¸À ªÀiÁqÀ®Ä J¯Áè ªÉüÉAiÀÄ®Æè OµÀzsÀ ªÀÄvÀÄÛ PÁAwªÀzsÀðPÀUÀ¼À C¢ü¤AiÀĪÀÄ 1940 G¥À§AzsÀUÀ¼À jÃvÁå ¤AiÀÄ«ÄvÀ C£ÀĸÀÆa OµÀzsÀUÀ¼À£ÀÄß ªÀiÁgÁl ªÀiÁqÀĪÀÅzÀgÀ ªÀÄÆ®PÀ §zÀÝ£ÁVgÀÄvÉÛÃ£É £Á£ÀÄ AiÀiÁªÀÅzÉà PÁgÀtUÀ½AzÀ F ¸ÀA¸ÉÞAiÀÄ£ÀÄß ©qÀĪÀÅzÁzÀgÉ CzÀ£ÀÄß PÀÆqÀ¯Éà ¸ÀºÁAiÀÄPÀ OµÀzsÀ ¤AiÀÄAvÀæPÀjUÉ w½¸ÀÄvÉÛÃ£É £Á£ÀÄ EvÀgÉ AiÀiÁªÀÅzÉà ¸ÀA¸ÉÞAiÀįÁèUÀ°Ã ¸ÀPÁðgÀzÀ°èAiÀiÁUÀ°Ã PÉ®¸À ªÀiÁqÀÄwÛ®èªÉAzÀÄ F ªÀÄÆ®PÀ WÉÆÃ¶¸ÀÄvÉÛÃ£É ªÉÄÃ¯É w½¹gÀĪÀ ªÀiÁ»wUÀ¼ÀÄ ¸ÀvÀå ªÀÄvÀÄÛ ¸ÀjAiÀiÁVzÉ JAzÀÄ F ªÀÄÆ®PÀ zsÀÈrÃPÀj¸ÀÄvÉÛãÉ.

 

 

CºÀðvÁ ªÀåQÛAiÀÄ ªÀÄ£É «¼Á¸À                        

                                               DºÀðvÁ ªÀåQÛAiÀÄ ¸À».

                     

 

                                

                 

 

 

 

 

 

                         CºÀðvÁ ªÀåQÛAiÀÄ ±À¥ÀzsÀ ¥ÀvÀæ

                             ________________________

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

.......................................................................................................«¼Á¸ÀzÀ°è ªÁ¸ÀªÁVgÀĪÀ

¸ÀĪÀiÁgÀÄ ...................................................ªÀµÀð ªÀAiÀĹì£À ²æÃ.............................................

CzÀ £Á£ÀÄ F ªÀÄÆ®PÀ ¸ÀvÀå ¤µÉ׬ÄAzÀ ªÀiÁqÀĪÀ ¥ÀÛweÉÐ K£ÉAzÀgÉ :

 

 

        £Á£ÀÄ .¥ÀæªÀiÁt ¥ÀvÀæ ¸ÀASÉå ......................................ªÉÄÃgÉUÉ..................................

 

£Éà ªÀµÀðzÀ°è..............................................................¥ÀjÃPÉëAiÀİè GwÛÃtð£ÁVzÉÝÃ£É ºÁUÀÆ

¥ÀæªÀiÁt ¥ÀvÀæ ¸ÀASÉå ....................................¢£ÁAPÀ.................................................ªÉÄÃgÉUÉ

PÀ£ÁðlPÀ gÁdå ¥sÁªÀÄð¹ ¥ÀjµÀwÛ£À°è £ÉÆAzÁ¬ÄvÀ ¥sÁªÀiÁð¹¸ïÖ CVzÉÝãÉ.

 

 

   £Á£ÀÄ .....................................................¢£ÁAPÀ¢AzÀ ¸ÀA¥ÀÆtðªÁV CºÀðvÁ ªÀåQÛAiÀiÁV

 

PÉ®¸À ªÀiÁqÀĪÀ ªÉÄ.................................................................................................£ÉêÀÄPÀªÀ£ÀÄß

 

M¦àPÉÆArzÉÝãÉ, ªÀÄvÀÄÛ OµÀzsÀ ºÁUÀÆ PÁAwªÀzsÀðPÀUÀ¼À C¢ü¤AiÀĪÀÄUÀ¼À ¤AiÀĪÀiÁªÀ½,1940 gÀ

G¥À§AzsÀUÀ¼À jÃvÁå ¤AiÀÄ«ÄvÀ C£ÀĸÀÆa “JZï’’ ªÀÄvÀÄÛ “¹” OµÀzsÀUÀ¼À a®ègÉ ªÀiÁgÁlªÀ£ÀÄß ¥Àj«ÃQë¸À®Ä F ªÀÄÆ®PÀ §zÀÝ£ÁVgÀÄvÀÛ£É, £Á£ÀÄ AiÀiÁªÀÅzÉà PÁgÀt¢AzÀ F ¸ÀA¸ÉÞAiÀÄ£ÀÄß ©lÖ PÉÆqÀ¯Éà ¸ÀA§AzsÀ¥ÀlÖ ¸ÀºÁAiÀÄPÀ OµÀzsÀ ¤AiÀÄAvÀæPÀjUÉ ºÁUÀÆ ¥ÀgÀªÁ£ÀV ¥Áæ¢üPÁgÀAiÀĪÀjUÉ F §UÉÎ w½¸ÀĪɣÀÄ JAzÀÄ ¥ÀæªÀiÁtPÀj¹vÉÛãÉ

 

     £Á£ÀÄ EvÀgÉà AiÀiÁªÀÅzÉà SÁ¸ÀVà ¸ÀA¸ÉÞAiÀįÁèUÀ°Ã ¸ÀPÁðgÀzÀ°èAiÀiÁUÀ°Ã CzsÀªÁ ¨ÉÃgÉ OµÀzsÀ CAUÀrAiÀįÁèUÀ°Ã ¸ÉÃªÉ ¸À°è¸ÀÄwÛ®è.

 

ºÁUÀÆ AiÀiÁªÀ «zÁå ¸ÀA¸ÉÞAiÀÄ°è ºÉaÑ£À «zÁå¨sÁå¸ÀPÁÌV ¸ÉÃjgÀĪÀÅ¢®èªÉAzÀÄ F ªÀÄÆ®PÀ WÉÆÃ¶¸ÀÄvÉÛãÉ

       £Á£ÀÄ ªÉÄÃ¯É ¤ÃrgÀĪÀ J¯Áè ªÀiÁ»wUÀ¼ÀÆ ¸ÀvÀåªÁVzÉ ºÁUÀÆ ¸ÀjAiÀiÁVzÉ JAzÀÄ F ªÀÄÆ®PÀ zsÀÈrüÃPÀj¸ÀÄvÉÛãÉ.

 

 

 

¸ÀÞ¼À :-

¢£ÁAPÀ:-                                  ºÉýPÉzÁgÀgÀ ¸À».

 

 

 

 

 

 

 

 

 

     OµÀzsÀ ªÀÄvÀÄÛ PÁAwªÀzsÀðPÀ C¢ü¤AiÀĪÀÄ 1940 ¤AiÀĪÀÄ 65 (3) 65 (4) ªÉÄÃgÉUÉ

   C©üªÀÄvÀ ªÀÄvÀÄÛ C£ÀÄªÉÆÃzÀ£Á £ÀªÀÄÆ£É

 

 

 

ªÉÄ//.................................................................................................................................................................................................................................................................................................................................................................................

 

zÁR¯ÉUÀ¼À£ÀÄß ¸ÀÄÖlªÁV §gÉAiÀÄ®àqÀĪÀÅzÀÄ ªÀÄvÀÄÛ AiÀiÁªÀ ¸ÀÆZÀ£ÉAiÀÄÆ E®èzÉ C©üªÀÄvÀ ªÀÄvÀÄÛ C£ÀÄªÉÆÃzÀ£ÉAiÀÄ£ÀÄß gÀzÀÄÝ ªÀiÁqÀ®Ä AiÀiÁªÀ ¨sÁzÀPÀªÀÅ E®èªÉA§ µÀgÀwÛUÉ M¼À¥ÀlÄÖ C£ÀĸÀÆa.JZï.UÀ¼À°è ªÀÄvÀÄÛ ¹.UÀ¼À°è G¯ÉèÃTvÀ OµÀzsÀUÀ¼À£ÀÄß ªÉÊzÀågÀ ¸À®ºÁ aÃn ªÉÄÃgÉUÉ ªÀiÁgÀ®Ä OµÀzsÀUÀ¼À £ÉÆÃAzÀt (jf¸ÀÖgï) £ÀUÀzÀÄ : ¸Á®zÀ ©®Äè ¥ÀĸÀÛPÀzÀ ¤ªÀðºÀuÉUÉ ¸ÀA§A¢ü¹zÀ F £ÀªÀÄÆ£ÉUÀ¼À£ÀÄß F ªÀÄÆ®PÀ ¤ªÉâ¸ÀÄvÉÛãÉ.¨sÁzÀPÀªÀÅ J¯Áè zÁR¯ÉUÀ¼À£ÀÄß ¤ªÉâ¸ÀÄvÉÛêÉÉ, ¤ªÀð»¸ÀÄvÉÛêÉ. ªÀÄvÀÄÛ ¸ÀzÀj ©®Äè ¥ÀĸÀÛPÀUÀ¼À£ÀÄß  OµÀzsÀ ¥Àj«ÃPÀëPÀgÀÄ : ¥Àj«ÃPÀëuÁ¢üPÁjUÀ¼ÀÄ PÉýzÀ vÀPÀët ºÁdgÀÄ ¥Àr¸ÀÄvÉÛÃ£É : ºÁdgÀÄ ¥Àr¸ÀÄvÉÛêÉÉ JAzÀÄ WÉÆÃ¶¸ÀÄvÉÛÃ£É : WÉÆÃ¶¸ÀÄvÉÛªÉ

 

 

 

 

 

CºÀðvÁ ªÀåQÛAiÀÄ ªÀiÁzÀjAiÀÄ ¸À»                

                                     AiÀiÁdªÀiÁ£À: ¸ÀA¸ÉÞAiÀÄ ¥Á®ÄzÁgÀgÀÄ ¸À»

 

 

 

                       ¯ÉʸɤìAUï ¥Áæ¢üPÁj ªÀÄvÀÄÛ ¸ÀºÁAiÀÄPÀ OµÀzsÀ ¤AiÀÄAvÀæPÀgÀÄ

                                     ªÀÈvÀÛ-2, ªÉÄʸÀÆgÀÄ

   

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¯Éʸɣïì ¸ÀASÉå ªÀÄvÀÄÛ ªÀÄAdÆgÁw ¢£ÁAPÀ -------------------------------

                                  PÉJ:JAªÉÊ J¸ï. 20 & 21   

                                               :20©:-      21©-

 

¸ÀA¸ÉÞAiÀÄ ºÉ¸ÀgÀÄ ªÀÄvÀÄÛ «¼Á¸À :

             ªÉÄ :--------------------------------------------

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

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

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

 

¸ÀA¸ÉÞAiÀÄ CºÀðvÁ ªÀåQÛ/ zÀPÀë ªÉåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

 

¥ÀÆtð ¸À» ---------------------------------------------------

 

aPÀÌ ¸À» -----------------------2)-----------------------------

 

PÉ J¸ï ¦ ¹ £ÉÆÃAzÀt ¸ÀASÉå --------------------------------------

 

                    ¸ÀA¸ÉÞAiÀÄ CºÀðvÁ ªÉåQÛ / zÀPÀëöå ªÉåQÛAiÀÄ ¨sÁªÀavÀæªÀ£ÀÄß ºÁQ

 

 

 

 

                       

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                           

 

 

                   ²ÃvÀPÀAiÀÄAvÀæ  µÉÆÃµÀuÁ¥ÀvÀæ

 

£Á£ÀÄ…………………………………………………………………………………

 

ªÉÄ: ……………………………………………………………………………………………………………………………

 

    …………………………………………………………………………………………………………………………………

 

    …………………………………………………………………………………………………………………………………

 

¸ÀA¸ÉÜAiÀÄ ªÀiÁ°ÃPÀ/ ¥Á®ÄzÁgÀ£ÁVzÀÄÝ F PÉüÀUV£À «ªÀgÀ«gÀĪÀ ²ÃvÀPÀAiÀÄAvÀæªÀ£ÀÄß

 

£À£Àß ¸ÀA¸ÉÜAiÀİèn×gÀÄvÉÛãÉ.

 

¸ÁªÀÄzsÉåð

 

vÀAiÀiÁgÀPÀgÀÄ:

 

§tÚ:

 

     £Á£ÀÄ ¢£ÀzÀ 24 WÀAmÉAiÀÄÆ ²ÃvÀPÀAiÀÄAvÀæªÀ£ÀÄß  ZÁ®£ÉAiÀİè EqÀÄvÉÛãÉ.  ªÀÄvÀÄÛ  CzÀÄ

¸ÀjAiÀiÁV  PÁgÀå ¤ªÀð»¸ÀĪÀ §UÉΠ PÀæªÀÄ vÉUÉzÀÄPÉÆ¼ÀÄîvÉÛãÉ.  OµÀ¢üAiÀÄ ¯Éç¯ï PÀArõÀ£ï

¥ÀæPÁgÀ  OµÀzsÀUÀ¼À£ÀÄß ²ÃvÀPÀ AiÀÄAvÀæzÀ°è zÁ¸ÁÛ£ÀÄ ªÀiÁqÀÄvÉÛãÉ.

 

                   

                                    ªÀiÁ°ÃPÀ/ ¥Á®ÄzÁgÀgÀ ¸À».

 

¸ÀÞ¼À :-                               ¸ÀA¸ÉÜAiÀÄ ªÉƺÀgÀÄ

 

¢£ÁAPÀ:-

 

 

 

 

 

 

 

 

 

 

 

 

                                    

         

 

 

                     ªÀiÁ°ÃPÀvÀé WÉÆÃµÀuÁ ¥ÀvÀæ

 

²æÃ................................gÀªÀgÀ ªÀÄUÀ£ÁzÀ /ºÉAqÀwAiÀiÁzÀ

 

£Á£ÀÄ  ²æÃ, ²æÃªÀÄw..............................

 

ªÀAiÀĸÀÄì.....................................................«¼Á¸À....................................................

                            

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

                              

                               .............................zÀ°è ªÁ¸ÀªÁVzÀÄÝ

 

ªÉÄ:..................................................

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

  ...............................................gÀ ¸ÀA¥ÀÆtð ªÀiÁ°ÃPÀ£ÁVzÀÄÝ ¸ÀA¸ÉÞ J¯Áè DUÀÄºÉÆÃUÀÄUÀ½UÉ £Á£Éà dªÁ¨ÁÝgÀ£ÁVzÉÝãÉ. gÀf¸ÀÖgïÀ ¥sÁªÀiÁð¹¸ïÖ/ zÀPÀë ªÀåQÛ ªÉÄðé«ZÁgÀuÉAiÀİè OµÀzsÀ ªÀÄvÀÄÛ PÁAwªÀzsÀðPÀ D¢ü¤AiÀĪÀÄ 1940 ªÀÄvÀÄÛ CzÀgÀ ¤AiÀĪÀiÁªÀ½UÀ¼ÀÄ 1945 ªÀÄvÀÄÛ OµÀzsÀ (¨É¯É ¤AiÀÄAvÀæt) CzÉñÀ 1995.gÀ  ¥ÀæPÁgÀ  OµÀzsÀ ªÁå¥ÁgÀ ªÀiÁqÀÄvÉÛãÉAzÀÄ WÉÆÃ¶¸ÀÄvÉÛãÉÀÀ

 

 

 

¸ÀÞ¼À :-                                        ¸À»

                                            (¹Ã®Ä)

¢£ÁAPÀ:-

 

 

 

 

 

 

 

 

 

 

 

 

 

                      

 

 

                              

 

 

 

 

 

 

 

 

 

¯Éʸɣïì ¸ÀASÉå ªÀÄvÀÄÛ ªÀÄAdÆgÁw ¢£ÁAPÀ -------------------------------

                                  PÉJ:JAªÉÊ J¸ï.     :20©:-      21©-

 

¸ÀA¸ÉÞAiÀÄ ºÉ¸ÀgÀÄ ªÀÄvÀÄÛ «¼Á¸À :

             ªÉÄ :--------------------------------------------

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

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

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

 

 

                   

                 ¸ÀA¸ÉÞAiÀÄ ªÀiÁ°ÃPÀgÀÄ/ ¥Á®ÄzÁgÀgÀ ¨sÁªÀavÀæ ªÀÄvÀÄÛ ¸À»

 

 

 

 

 

 

 

 

 

 

 

           

 

 

 

                       

 

          

 

 

 

 

 

 

 

 

 

 

 

 

zÀPÀëöå ªÀåQÛAiÀÄ £ÉêÀÄPÁw : §zÀ¯ÁªÀuÉAiÀÄ ¥Àj¥ÀvÀæ

 

 

1.¸ÀA¸ÉÞAiÀÄ ºÉ¸ÀgÀÄ ªÀÄvÀÄÛ «¼Á¸À

 

  1. ¯ÉʸɣïìUÀ¼À°è ¸ÉÃj¸À¨ÉÃPÁzÀ zÀPÀëöå ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

3. ………………………………¢£ÁAPÀ¢AzÀ ©lÖ ©qÀĪÀ zÀPÀëöå ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

 

   4. 2£Éà ªÀÄvÀÄÛ 3£Éà PÀArPÉ (¥ÁågÀ) zÀ°è w½¹gÀĪÀ

CºÀðvÁ ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄUÀ¼À£ÀÄß ©lÄÖ FUÁUÀ¯ÉÃ

PÉ®¸À ªÀiÁqÀÄwÛgÀĪÀ CºÀðvÁ ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

                                  

 

 

 

                             £ÉêÀÄPÀ ¥ÀvÀæ

   OµÀzsÀ ªÀÄvÀÄÛ PÁAwªÀzsÀðPÀ C¢ü¤AiÀĪÀÄ 1940 jÃvÁå ²æÃ:²æÃªÀÄw....................................

gÀªÀgÀ£ÀÄß CAUÀrAiÀİè OµÀzsÀUÀ¼À ªÀiÁgÁlzÀ ¥Àj«ÃPÀëuÉUÁV ¥ÀqÉzÀ ªÀåQÛAiÀiÁV.....................

¢£ÁAPÀ £Á£ÀÄ : £ÁªÀÅ £ÉêÀÄPÀ ªÀiÁrzÉÝêÉ.

 

¢£ÁAPÀ........................                           ¸À»

                                            ¥ÀzÀ £ÁªÀÄ

                                            CAUÀrAiÀÄ ºÉ¸ÀgÀÄ ªÀÄvÀÄÛ «¼Á±À

                                                (ªÉƺÀj£ÉÆqÀ£É)

 

 

 

 ¤zÀ±Àð£À £ÀªÀÄÆ£ÉAiÀÄ eÉÆvÉAiÀİè PÀ¼ÀÄ»¨ÉÃPÁzÀ zÁR¯ÉUÀ¼ÀÄ

 

1.OµÀzsÀ ¯Éʸɣïì UÀ¼À £ÀªÀÄÆ£É 20© ªÀÄvÀÄÛ 21©

2. 4 ªÀµÀðUÀ¼À 1ªÀµÀðzÀ (¥ÀzÀ« «zÁåºÀðvÉ) EgÀĪÀªÀjUÉ C£ÀĨsÀªÀ ¥ÀvÀæ

3. C¦üqÁ«Ãmï

4. JgÀqÀÄ ¨sÁªÀavÀæUÀ¼ÀÄ

5. «zÁåºÀðvÁ ¥ÀæªÀiÁt ¥ÀvÀæUÀ¼ÀÄ

 

 

                                  

 

 

 

 

 

1 zÀPÀëöå ªÀåQÛAiÀÄ ºÉ¸ÀgÀÄ

 

2. zÀPÀëöå ªÀåQÛAiÀÄ «zÁåºÀðvÉ

 

3 ªÀiÁ£ÀåvÉ ¥ÀqÉzÀ ªÀåQÛAiÀÄ »A¢£À C£ÀĨsÀªÀ EzÀݰè

  AiÀiÁªÀ ¸ÀA¸ÉÞAiÀİè PÉ®¸À ªÀiÁqÀÄwÛzÀÝgÀÄ ªÀÄvÀÄÛ

  C ¸ÀA¸ÉÞAiÀÄ «¼Á¸ÀªÀ£ÀÄß w½¹

        CªÀ¢ü :¢ ..............................................¢AzÀ

              ¢ ..............................................gÀ ªÀgÀUÉ

4 »A¢£À ¸ÀA¸ÉÞAiÀÄ£ÀÄß ©lÖ §UÉÎ ¯ÉʸɤìAUï ¥Áæ¢üPÁgÀAiÀĪÀjUÉ

  CzsÀªÁ ¸ÀºÁAiÀÄPÀ OµÀzsÀ ¤AiÀÄAvÀæPÀjUÉ w½¹gÀÄvÁÛgÉAiÉÄà ?

  ºÁVzÀݰè AiÀiÁªÀ vÁjÃT¤AzÀ ªÀÄvÀÄÛ «ªÀgÀUÀ¼ÀÄ.

 

                  

 

 

                        “ zÀPÀëöå ªÀåQÛAiÀÄ ªÀÄÄZÀѽPÉ ”

 

......................................................CzÀ £Á£ÀÄ ........................................................jAzÀ

zÀPÀëöå ªÀåQÛAiÀiÁV PÉ®¸À ªÀiÁqÀ®Ä ªÉÄ:..............................................................................

¸ÀA¸ÉÞAiÀÄ°è £ÉêÀÄPÀ ªÀiÁqÀ®Ä M¦àPÉÆArzÉÝÃ£É ªÀÄvÀÄÛ ¸ÀA¸ÉÞAiÀİè PÉ®¸À ªÀiÁqÀ®Ä J¯Áè ªÉüÉAiÀÄ®Æè OµÀzsÀ ªÀÄvÀÄÛ PÁAwªÀzsÀðPÀUÀ¼À C¢ü¤AiÀĪÀÄ 1940 G¥À§AzsÀUÀ¼À jÃvÁå

¤AiÀÄ«ÄvÀ C£ÀĸÀÆa OµÀzsÀUÀ¼À£ÀÄß ªÀiÁgÁl ªÀiÁqÀĪÀÅzÀgÀ ªÀÄÆ®PÀ §zÀÝ£ÁVgÀÄvÉÛãÉ

£Á£ÀÄ AiÀiÁªÀÅzÉà PÁgÀtUÀ½AzÀ F ¸ÀA¸ÉÞAiÀÄ£ÀÄß ©qÀĪÀÅzÁzÀgÉ CzÀ£ÀÄß PÀÆqÀ¯Éà ¸ÀºÁ

AiÀiPÀ OµÀzsÀ ¤AiÀÄAvÀæPÀjUÉ w½¸ÀÄvÉÛÃ£É £Á£ÀÄ EvÀgÉ AiÀiÁªÀÅzÉà ¸ÀA¸ÉÞAiÀiÁ¯ÁèUÀ°Ã ¸ÀPÁðgÀ

zÀ°èAiÀiÁUÀ°Ã PÉ®¸À ªÀiÁqÀÄwÛ®èªÉAzÀÄ F ªÀÄÆ®PÀ WÉÆÃ¶¸ÀÄvÉÛÃ£É ªÉÄÃ¯É ªÀiÁ»wUÀ¼ÀÄ ¸ÀvÀå

ªÀÄvÀÄÛ ¸ÀjAiÀiÁVzÉ JAzÀÄ F ªÀÄÆ®PÀ zsÀÈrÃPÀj¸ÀÄvÉÛãÉ.

 

 

 

 

 

zÀPÀëöå ªÀåQÛAiÀÄ ªÀÄ£É «¼Á¸À                          zÀPÀëöå ªÀåQÛAiÀÄ ¸À»

 

 

 

 

 

 

 

 

 

 

 

 

 

                    zÀPÀëöå ªÀåQÛAiÀÄ ±À¥ÀzsÀ ¥ÀvÀæ

 

£Á£ÀÄ ²æÃ ------------ªÀAiÀĸÀÄì -------------EzÀÄÝ ¥ÀÆtð «¼Á¸À

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

..............................................................................................F ªÀÄÆ®PÀ ¸ÀvÀå

¤µÉÖ¬ÄAzÀ ¥ÀæwYÉÕ ªÀiÁqÀĪÀÅzÉ£ÉAzÀgÉ

 

     £Á£ÀÄ ¥ÀæªÀiÁt¥ÀvÀæ ¸ÀASÉå--------------¢£ÁAPÀ ------gÀ ªÉÄÃgÉUÉ

----------------------¥ÀjÃPÉëAiÀİ蠠   vÉÃUÀðqÉAiÀiÁVgÀÄvÉÛãɠ ºÁUÀÆ ªÉÄ

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

¸ÀA¸ÉÞAiÀİè -----------------DV  ¢£ÁAPÀ -----------------JA§

-------------------------ªÀgÉUÉ PÉ®¸À ªÀiÁrgÀÄvÉÛãÉ

 

     £Á£ÀÄ ¢£ÁAPÀ -----------jAzÀ  ¥ÀÆuÁðªÀ¢ü zÀPÀë ªÀåQÛAiÀiÁV PÉ®¸À

ªÀiÁqÀ®Ä ªÉÄ: ---------------------------------------------

¥ÀÆtð «¼Á¸À -------------------------------------------

-----------------------------------------------------j̻ˀ

JA§ ¸ÀA¸ÉÞAiÀİèAiÀÄ £ÉêÀÄPÀªÀ£ÀÄß M¥ÀàPÉÆArgÀÄvÉÛÃ£É ºÁUÀÆ OµÀzsÀ ªÀÄvÀÄÛ PÁAwªÀzsÀðPÀ

C¢ü¤AiÀĪÀÄUÀ¼À ¤AiÀĪÀiÁªÀ½ 1940 gÀ G¥À§AzsÀUÀ¼À jÃvÁå ¤AiÀÄ«ÄvÀ C£ÀĸÀÆa ºÉZï

ªÀÄvÀÄÛ ¹ OµÀzsÀUÀ¼À ¸ÀUÀlÄ ªÀiÁgÁlªÀ£ÀÄß ªÀiÁqÀ®Ä F ªÀÄÆ®PÀ §zÀÝ£ÁVgÀÄvÉÛÃ£É £Á£ÀÄ AiÀiÁªÀÅzÉà PÁgÀt¢AzÀ F ¸ÀA¸ÉÞAiÀÄ£ÀÄß ©lÖ PÉÆqÀ¯Éà ¸ÀA§AzsÀ¥ÀlÖ ¸ÀºÁAiÀÄPÀ OµÀzsÀ ¤AiÀÄAvÀæPÀjUÉ ºÁUÀÆ ¥ÀgÀªÁ£ÀV ¥Áæ¢üPÁgÀAiÀĪÀjUÉ PÀÆqÀ¯Éà w½¸ÀÄvÉÛãÉ

 

     £Á£ÀÄ EvÀgÉ AiÀiÁªÀÅzÉà SÁ¸ÀV ¸ÀA¸ÉÞAiÀįÁèUÀ°Ã ¸ÀPÁðgÀzÀ°èAiÀiÁUÀ°Ã CzsÀªÁ ¨ÉÃgÉ  AiÀiÁªÀÅzÉà CAUÀrAiÀįÁèUÀ°Ã ¸ÉÃªÉ ¸À°è¸ÀÄwÛ®è.ºÁUÀÆ AiÀiÁªÀ «zÁå ±Á¯ÉAiÀÄ®Æè ºÉaÑ£À «zÁå¨sÁå¸ÀPÁÌV ¸ÉÃjgÀĪÀÅ¢®èªÉAzÀÄ F ªÀÄÆ®PÀ WÉÆÃ¶¸ÀÄvÉÛãÉ

        ªÉÄÃ¯É ¤ÃrgÀĪÀ J¯Áè ªÀiÁ»wUÀ¼ÀÆ ¸ÀvÀåªÁVzÉ ºÁUÀÆ ¸ÀjAiÀiÁVzÉ JAzÀÄ F ªÀÄÆ®PÀ zsÀÈrüÃPÀj¸ÀÄvÉÛãÉ.

 

 

 

¸ÀÞ¼À :-                                     zÀPÀëö ªÀåQÛAiÀÄ ¸À»

¢£ÁAPÀ:-