APPLICATION FORM FOR THE GOODSTANDING LETTER

To
The Regis trar,
Maharas htra State Pharmacy Council
E .S.I .S. Hos pital Compound
L .B.S. Marg, Mulund (Wes t)
Mumbai - 400 080
Sub :- I ssue of Letter of Goodstanding.

Sir,

I request you to kindly issue a Letter of Goodstanding whic h is to be s ubmitted to the foreign Board/University
Council to enable me to appear for the examination. I give below my regis tration partic ulars and other details :-

1 Name and address (in I ndia) of the Applicant

2 Te..No./ Mobile No.

3 Email ID

4 Registration No. & Date

5 Qualif ication

6 Name of the College/University

7 Name and address in f ull of the

FOREIGN Board/Authority/Council
to whom the letter is to be
addressed

8 Email ID of the concerned FOREI GN

Board/Authority/Council

9 EE No., if any
(Identif ication No. given by the f oreign
Board/Authority/Council)
10 Applicant's address in f oreign country

I am submitting herewith FRONT AND BACK SIDE xerox copies of Registration Certif icate f or attestation alongwith
Letter of Goodstanding.

Thanking you,

For of f ice use only

Yours faithfully,
Collection Dat e :___________________

Collection time :___________________

(_________________)
_____________________________________
_