Name of the Organization : Maharashtra State Pharmacy Council (mspcindia.org)
Type of Facility : Application for Change of Name of Registered Pharmacist
Location : Mumbai
Website : http://www.mspcindia.org/
Maharashtra State Pharmacy Council Related Content:
Apply for Registration of Pharmacists: https://www.indianjobtalks.in/32819.html
Additional Qualification Procedure: https://www.indianjobtalks.in/32802.html
Procedure for change of name :
For female registered pharmacists (submission in person is must)
1. Original Marriage Certificate & one photocopy.(Mandatory )
2. Document showing changed name-Photo Identity Card ( driving license, passport,pan card copy , etc.)
3. Change of name form duly filled in.(given below)
4. Four 3.5X 4.5 cm size, identical, front pose ,recent photographs.
5. Identity slip duly attested by gazetted officer / Principal of school or college(Identity slip is given below-in change of name form)
6. Surrender original Registration Certificate.
7. Address slip duly filled in.
8. Remit Rs . 220/- (Provided registration is renewed up to date)
9. Proof of date of birth.
10. Documents supporting change of name -(optional)
(A) Affidavit
(B)Gazette notification
For Male registered pharmacists (submission in person is must) :
1. Affidavit on Rs 100 stamp paper duly notarized for changed name
2. Gazette notification
3. Document showing changed name- Photo Identity Card ( driving license, passport,pan card copy , etc.)
4. Change of name form duly filled in.(given below)
5. Four 3.5 X 4.5 cm size, identical, front pose,recent photographs.
6. Identity slip duly attested by gazetted officer / Principal of school or college(Identity slip is given below in change of name form)
7. Surrender original Registration Certificate.
8. Address slip duly filled in.
9. Remit Rs 220/- (Provided registration is renewed up to date)
10. Proof of date of birth.
Download Form Here :https://www.indianjobtalks.in/uploads…CHANGECERT.pdf