Signature of the Head of the Institution Signature of the Inspectors 7 A I .9 – APPLICATION FOR INSTITUTION SEEKING APPROVAL FOR PHARM. D. OR PHARM. D AND (Tick appropriate box) PHARM.D. (POST BACCALAUREATE) PROGRAMME DETAILS OF INSPECTION/AFFILIATION FEE PAID Affiliation Name of the Course D.D. No Dated Fee/Inspection fee for/up to the year 2017-2018 (a) Pharm. D. 178273 17/06/2017 b) D. Post Baccalaureate Remarks State of the Govt PCI University Inspectors GO(Rt) No.3025/04/ Dt.12/05/2014 H&FWD, dt.17/03/2006 dt.27/10/2004 60 60 60 60 60 60 GO (Rt) No. No.2120/Ac/1/ 2020/2003/H& 2015 FWD Dt-17/11/2015 Dt-12/05/2014 Dt.5/7/2003 (2015-2016) 60 60 60 60 60 60
Signature of the Head of the Institution Signature of the Inspectors 7 A – I .9 APPLICATION FOR INSTITUTION SEEKING APPROVAL FOR PHARM. D. OR PHARM. D AND PHARM.D. (POST BACCALAUREATE) PROGRAMME (Tick appropriate box) DETAILS OF INSPECTION/AFFILIATION FEE PAID Name of the Course Affiliation Fee/Inspection fee for/up to the year D.D. No Dated (a) Pharm. D. 2017-2018 178273 17/06/2017 b) D. Post Baccalaureate PCI State Govt University Remarks of the Inspectors Dt.12/05/2014 GO(Rt) No.3025/04/ H&FWD, dt.27/10/2004 dt.17/03/2006 60 60 60 60 60 60 Dt-12/05/2014 GO (Rt) No. 2020/2003/H& FWD Dt.5/7/2003 No.2120/Ac/1/ 2015 Dt-17/11/2015 (2015-2016) 60 60 60 60 60 60
SIF-format-for-Pharm-D.docx