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Drug Office - Application e-Form for Registration of Premises under Section 13
Notes:
Item marked with * is compulsory field.
PART A: DETAILS OF APPLICANT
(As stated on Business Registration Certificate/ Hong Kong Identity Card)
Name of Business (in English)
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*
Name of Business (in English)
Name of Business (in Chinese)
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Name of Business (in Chinese)
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*
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*
-
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*
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*
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*
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*
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*
(
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
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*
*
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*
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*
PART B: DECLARATION OF APPLICANT
Full name of Applicant
:
*
Full name of Applicant
Position of the Applicant
:
*
Position of the Applicant
Signed on behalf of
:
*
Signed on behalf of
Date
:
Date
(dd/mm/yyyy)
(Revised in 07/2021)
Please enter the five letters as shown above.
Please enter the five letters as shown above.
I wish to sign in person during
pre-licensing inspection
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