1964_PHARMACY_AND_POISONS_REGULATIONS — Page 69

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1987 Ed.]

Pharmacy and Poisons Regulations

[CAP. 138

A 69

DECLARATION OF APPLICANT 申請人聲明

I hereby declare that to the best of my knowledge and belief the information given in this application is correct.

兹聲明:據本人所知,本申請書所填資料,均屬正確無訛。

Date: 日期:

Signature: 簽署:

Forensic

Date Rec'd 收件日期

Classifica-tion 法醫學分類

Fees Paid 註冊費用收訖

For Office Use Only 只供本辦事處填寫

Registration Approved 註冊獲准

Certificate Issued 證明書已發

Registration 註冊

[Subsidiary]

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2026-05-05 05:20:55 · NVIDIA / meta/llama-4-maverick-17b-128e-instruct
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1987 Ed.] Pharmacy and Poisons Regulations [CAP. 138 A 69 DECLARATION OF APPLICANT 申請人聲明 I hereby declare that to the best of my knowledge and belief the information given in this application is correct. 兹聲明:據本人所知,本申請書所填資料,均屬正確無訛。 Date: 日期: Signature: 簽署: Forensic Date Rec'd 收件日期 Classifica-tion 法醫學分類 Fees Paid 註冊費用收訖 For Office Use Only 只供本辦事處填寫 Registration Approved 註冊獲准 Certificate Issued 證明書已發 Registration 註冊 [Subsidiary]
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1987 Ed.] Pharmacy and Poisons Regulations [CAP. 138 A 69 DECLARATION OF APPLICANT 申請人聲明 I hereby declare that to the best of my knowledge and belief the information given in this application is correct. 兹聲明:據本人所知,本申請書所填資料,均屬正確無訛。 Date: 日期: Signature: 簽署: Forensic Date Rec'd Classifica- Fees Paid 收件日期 tion For Office Use Only 只供本辦事處填寫 Registration Approved Certificate Issued Registration 費用收訖 註冊獲准 法醫學分類 證明書已發 註冊 [Subsidiary]
2026-05-05 05:20:55 · Baseline
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1987 Ed.]

Pharmacy and Poisons Regulations

[CAP. 138

A 69

DECLARATION OF APPLICANT 申請人聲明

I hereby declare that to the best of my knowledge and belief the information given in this application is correct.

兹聲明:據本人所知,本申請書所填資料,均屬正確無訛。

Date:

日期:

Signature:

簽署:

Forensic

Date Rec'd

Classifica-

Fees Paid

收件日期

tion

For Office Use Only

只供本辦事處填寫

Registration

Approved

Certificate

Issued

Registration

費用收訖

註冊獲准

法醫學分類

證明書已發

註冊

[Subsidiary]

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