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Basic information (Migration)
Step - 1
(in block letters as in Matriculation Certificate)
Father's Name*
Mother's Name*
scanned passport size photo with size
170px X 220px in .jpg format
Date of birth*   (from 10th certificate)
Place Of Birth*  
Aadhar Number*  
Aadhar card File Upload*  
in PDF formate
Mobile number*    
10 digits valid moblie number
Identy Proof*
Type :
Upload ID Proof :
in PDF formate
Employment details (if applicable)
Present Name of organisation :
Address :
From To
Previous Name of organisation :
Address :
From To
Login Details
Enter Password to Login (Minimum 6 Character)*  
Re-Enter Password*  
  1. I hereby declare that I have not so far registered my name in any other State Pharmacy Council in India.
  2. I hereby declare that I am residing in the state of Haryana or carrying out the business of pharmacy or serving the profession of pharmacy in the state of Haryana. Hence this application is made for re-registration in the Haryana State Pharmacy Council.
  3. I hereby declare that information given in the application form is true and I understand that my application is liable to be rejected summarily or the registration is liable to be cancelled forthwith, u/s 36 of the Pharmacy Act, 1948 if the above information is proved to be false in any particular, at any stage.
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Head Office Haryana State Pharmacy Council
SCO 208, IInd Floor, Sector 14, Panchkula.
Ph. - 0172-2587622, 08699055894
(For Enquiry 09:30 to 13:15 & 14:15 to 16:30 only)
Email - haryanastatepharmacycouncil@gmail.com