FORM B

FORM B
THE PHARMACY ACT, 1966
(ACT 5 OF 1966)
APPLICATION FOR REGISTRATION AS A PHARMACIST




To The Pharmacy Council
91 Dumbarton Ave
Kingston 10





(In Block Letters)



(Photostat of certified copies of Birth Certificate should be attached)









(Photostat of certified copies of Qualification should be attached)

Three Testimonials to be attached (Two from registration pharmacists and one other)
Registration fee of $ 50.00(USD) or its Jamanican equivalent
Two(2) Passport size photographs (certified to be true copies by a Justice of the Place)



To be completed by the Registrar