Name of Applicant
(In Block Letters)
Age of Applicant
(Photostat of certified copies of Birth Certificate should be attached)
Date of Application Telephone No. Address Email Qualification of applicant
(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)
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