Paragraph 2 Information to be included in all routine and excepted applications for inclusion in a pharmaceutical list

A's or each partner's full name;

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

A's or each partner's date of birth;

A's or each partner's private address and telephone number;

a declaration that A or each partner is a registered pharmacist, if A is seeking entry in the list mentioned in regulation 10(2)(a);

if A is a partnership, a declaration that A is, or is entitled to be, lawfully conducting a retail pharmacy business in accordance with section 69 of the 1968 Act M1 (general provisions), if A is seeking entry in the list mentioned in regulation 10(2)(a); and

if A is already included in Part 3 of the GPhC register in respect of any premises, A's registration number in that Part of the GPhC register, if A is seeking entry in the list mentioned in regulation 10(2)(a).

A's registered name and any other name under which A trades;

A's company registration number;

A's registered office and any fixed line telephone number relating to that office;

the private address and date of birth of A's superintendent (if A is seeking entry in the list mentioned in regulation 10(2)(a));

the name and date of birth of each director of A (who is not A's superintendent), and if any director of A (who is not A's superintendent) is a registered pharmacist, that director's registration number in the GPhC register;

a declaration that A is, or is entitled to be, lawfully conducting a retail pharmacy business in accordance with section 69 of the 1968 Act, if A is seeking entry in the list mentioned in regulation 10(2)(a); and

if A is already included in Part 3 of the GPhC register in respect of any premises, A's registration number in that Part of the GPhC register, if A is seeking entry in the list mentioned in regulation 10(2)(a).