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Affidavit Format for Retail Sale

This document is a proforma affidavit for proprietors or partners involved in retail sale, affirming their identity and business details. It includes declarations about citizenship, business ownership, and employment of a registered pharmacist, along with consequences for false statements. The affidavit must be notarized and confirms that no other business will operate in the licensed premises.
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0% found this document useful (0 votes)
24 views1 page

Affidavit Format for Retail Sale

This document is a proforma affidavit for proprietors or partners involved in retail sale, affirming their identity and business details. It includes declarations about citizenship, business ownership, and employment of a registered pharmacist, along with consequences for false statements. The affidavit must be notarized and confirms that no other business will operate in the licensed premises.
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

PROFORMA OF AFFIDAVIT TO BE MADE BY PROPRIETOR / PARTNER (S)

FOR RETAIL SALE

BEFORE THE NOTARY PUBLIC AT __________________________________________________

(AFFIDAVIT)
I Sri / Smt. ___________________________________ Son of / Daughter of / wife of __________
aged about ____________ years by faith, a resident of ________________________ do hereby
solemnly affirm and declare as follows: -

1. THAT, I am a citizen of India by birth / by registration at ____________________________.

2. THAT, I am the Proprietor / Proprietress / Partner of M/s _____________________________


having its address at ___________________________________.

3. THAT, I have given appointment to Sri / Smt. ________________ having Registration


Number ____________ as a Registered Pharmacist on whole time basis in my above –
mentioned firm M/s. _____________________ having its address at ________________.

4. THAT, the said Sri / Smt. _________________ Registered No: _________ is not engaged
anywhere else as a Pharmacist except my firm and if it is proved to the contrary, my
application for grant of Drug Licence will be liable to the consequences including
rejection & cancellation.

5. THAT, the above statements are true to the best of my knowledge and belief.

6. I FURTHER STATE THAT, no business / trade / profession other than the trade of
medicines / drugs / by me / us or by me / our agent or any other person will be allowed
within the licenced premises or in its adjoining space having inter connections with the
licenced premises.

(D E P O N E N T )

IDENTIFIED BY ME :

ADVOCATE :

Common questions

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The affidavit places the responsibility on the proprietor to ensure that the employed pharmacist is not simultaneously engaged elsewhere. This exclusivity is a significant condition for the Drug Licence application. Should this be proven false, the application for the Drug Licence could face rejection or cancellation. Hence, the proprietor must carefully select, verify, and document the employment status of the pharmacist to maintain compliance and protect licensure integrity .

The affidavit requirement for pharmacists mandates exclusive employment, preventing dual engagement as a pharmacist in other firms. This exclusivity is critical because a breach may lead to the rejection or cancellation of the firm's Drug Licence application. Such exclusivity agreements ensure the pharmacist's full attention and responsibility towards the employing firm, enhancing reliability in drug handling and patient safety .

The affidavit acts as a binding legal document that enforces ethical practices by requiring truthful declarations concerning citizenship, business operations, and employment conditions. By mandating these declarations, it deters fraudulent activities such as falsifying employment status or engaging in unauthorized business activities on licensed premises. This legal vigilance promotes integrity and compliance with ethical standards in pharmaceutical retail firms .

This stipulation in the affidavit requires operational management to strictly segregate pharmaceutical activities from other business operations. It compels firms to carefully manage spatial arrangements and usage of premises to comply with legal restrictions. This separation ensures that attention remains focused on pharmaceutical responsibilities, reducing liability risks associated with unauthorized activities and upholding safety and compliance standards .

If the pharmacist employed by the proprietor is found to be engaged elsewhere as a pharmacist, contrary to what is stated in the affidavit, the legal implications include potential rejection or cancellation of the Drug Licence application for the firm. This is because the affidavit specifically stipulates that the pharmacist is not engaged anywhere else, and breaching this agreement renders the application vulnerable to serious consequences .

The declaration in the affidavit to allow no trade other than that of medicines/drugs within the licensed premises ensures regulatory compliance and singularity of business purpose. This prevents potential conflicts of interest and cross-contamination of activities, fostering a controlled environment specifically for pharmaceuticals. This singular focus enhances safety, aligns with legal standards, and assures the regulatory body of adherence to the intended use of the premises .

Highlighting the relationship of the deponent to the principal proprietor in the affidavit establishes a clear, accountable identity link to the person making declarations. It identifies who is legally empowered to speak for the business entity, supporting authentication and preventing unauthorized individuals from making legal commitments on behalf of the firm. This clarity preserves the integrity of the document and the ensuing legal processes .

The notary public plays a crucial role in the legal validation of the affidavit. By witnessing and authenticating the signing of the document, the notary ensures that the affidavit is executed under oath, which lends credibility and legality. This process safeguards against potential fraud and falsehoods, as the notary emphasizes the seriousness and legal consequences of the declarations made, thereby supporting the regulatory framework .

Including location details in the affidavit is crucial for regulatory oversight and accountability. It ensures transparency, allowing regulatory bodies to verify that the business operations, including staffing and licensure status, occur within the specified premises. Geographic specificity aids in inspections, compliance checks, and ensures that the firm's operations are traced and regulated effectively .

The identification of the deponent by an advocate is crucial as it provides an additional layer of legal authentication. The advocate's role is to verify the identity and authenticity of the person swearing the affidavit, minimizing the risk of fraudulent impersonation. This legal confirmation is essential to uphold the credibility and enforceability of the affidavit in regulatory and legal contexts .

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