0% found this document useful (0 votes)
4 views1 page

Affidavit Proprietor

Uploaded by

alirao1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
4 views1 page

Affidavit Proprietor

Uploaded by

alirao1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

AFFIDAVIT

(Proprietor)
1. I, Saud Ahmed
s/d/w of Ahmed yousuf , with CNIC number 4210141905543
Plot 364/1, Ayesha Heaven, Flat no 210 Mohllah Garden East, District
and a permanent residence in , Karachi East
am the proprietor of , M/S DKT Pakistan Private Limited
Near Pull Dingroo, Khewat No. 144/136, Khatooni No. 397-400 Khatta, Qittat
No. 17 Khasra No. 13/19, 0.2 KM East Canal Jhang Branch, Chak No. 1/JB
which is situated at the Sargodha Road, District Faisalabad

2.(1). Mr./Miss./Mrs. Nazia Qadir with registration number 6247-A/10 is a


qualified person with valid registration number who, to the best of my knowledge, is not employed by any
government, semi-government, or autonomous entity.
3. I hereby solemnly declare that I am not currently involved in any criminal proceedings or facing any criminal
charges in any court of law. Also, I have never been convicted under rule19(1)(e) of the Punjab Drugs Rules,
2007.
4. I shall abide by the provisions of the Drugs Act, 1976 and the DRAP Act, 2012, as well as any rules framed
thereunder.
5. I am not working in any government / semi-government / autonomous organization.
6. I shall personally supervise the sale of drugs.
7. I shall not sell/ stock any expired, spurious, substandard, unregistered, misbranded, counterfeit or any drugs in
violation to the drugs laws in force.
8. I shall inform the Licensing Authority for any change in supervisory staff etc.
9. I hereby solemnly affirm that:
i) I shall relieve Mr./Ms Nazia Qadir from the services as qualified person and shall
return/handover original registration certificate to him subject to his/her one-month advance notice for
resignation from job/discontinuation of services and completion of the notice period.
ii) I shall apply the Licensing Authority for change of qualified person within the notice period.
10. I acknowledge that any misrepresentation about the facts of the above would result in my application being
rejected and/or my eligibility being revoked outright.
11. I will not practice medicine or render healthcare services, that I am not authorized to provide under The Drugs
Act, 1976, The DRAP Act, 2012 and rules framed thereunder.
12. I will not allow any person to practice medicine or render healthcare services, that he is not authorized to
provide under The Drugs Act, 1976, The DRAP Act, 2012 and rules framed thereunder.

Saud Ahmed
(Sign and Thumb Impression)

Verfication
13. I swear this affidavit on solemn affirmation and oath that the facts stated above are valid to the best of my
knowledge and that nothing in this affidavit is false or concealed.

(Sign and Thumb Impression)

You might also like