APPLICATION FOR OPENING ZEELAB PHARMACY at:

Proposed Location For Opening Zeelab Pharmacy

15. Please Provide two Market References with Contact No.

Declaration: I Have gone through the terms and condition as mentioned in the guidelines for opening of Zeelab Pharmacy and agree to abide by the same. I/We hereby declare that all the information as mentioned above is true to best of my knowledge . If any information is found to be incorrect, my/our candidature is liable to be cancelled and may be subject to legal/disciplinary proceeding.

Thank you for your interest in Zeelab Pharmacy, we shall get back to you soon.