New Zealand Gazette – 1928 – No. 71

Page 2881

✨ Forms for Dangerous Drugs Licensing



SEPT. 27.] THE NEW ZEALAND GAZETTE. 2881

Form No. 3.] NEW ZEALAND CUSTOMS.

LICENSE TO EXPORT DANGEROUS DRUGS.

Customs Department,
Wellington, New Zealand.

I, , Comptroller of Customs, do hereby issue to
, carrying on the business of , at , this license to export
the undermentioned dangerous drugs, per the , to , on
or about the day of , 19 .

Name, Nature, and Description of Dangerous Drugs. Quantity to be exported. Name and Address of Person, Firm, or Company, to whom the Drugs are to be exported.

No. and date of Import Certificate :
Authority by whom such certificate was issued :
This license is issued subject to the provisions of the Dangerous Drugs Act, 1927, and the regulations thereunder and to the following conditions or restrictions :—
(a) That the drugs specified herein are exported within
months from the date of issue of this license.
(b)
Dated at Wellington, this day of , 19 .

Comptroller of Customs.

Form No. 4.] DEPARTMENT OF HEALTH. No. .

FORM OF APPLICATION FOR A LICENSE TO MANUFACTURE AND DEAL IN A DANGEROUS DRUG.

To the Medical Officer of Health,

I, [We], the undersigned (1) , of , trading as (2) ,
hereby apply to the Director-General for a license to produce, manufacture, sell, distribute, or otherwise deal in the following dangerous drug(s)—namely, (3) at my premises situated at (4) .
Dated this day of , 19 .

[Signature.]

(1) Here insert full name of applicant, postal address, and occupation.
(2) Here insert trading or firm name.
(3) Specify the drug or drugs.
(4) Set out full address of premises.

Form No. 5.] DEPARTMENT OF HEALTH. [No. .

FORM OF LICENSE UNDER SECTION 9 OF THE DANGEROUS DRUGS ACT, 1927, TO MANUFACTURE AND DEAL IN A DANGEROUS DRUG.

PURSUANT to the provisions of Regulation 4 of the Dangerous Drugs Regulations, 1928, , of , is hereby licensed to produce, manufacture, sell, distribute, or otherwise deal in the following dangerous drug(s)—namely, —at premises situated at ,
upon the terms and conditions following—namely,—
This license, unless sooner revoked, shall remain in force until 31st March next, and no longer.
Dated this day of , 19 .

Director-General of Health.

C



Next Page →

PDF embedding disabled (Crown copyright)

View this page online at:


VUW Te Waharoa — PDF NZ Gazette 1928, No 71


NZLII — PDF NZ Gazette 1928, No 71




✨ LLM interpretation of page content

🏥 License to Export Dangerous Drugs Form (continued from previous page)

🏥 Health & Social Welfare
Form, License, Exportation, Dangerous Drugs, Customs
  • Comptroller of Customs

🏥 Application for License to Manufacture and Deal in Dangerous Drugs Form

🏥 Health & Social Welfare
Form, Application, License, Manufacture, Deal, Dangerous Drugs, Department of Health
  • Medical Officer of Health
  • Director-General

🏥 License to Manufacture and Deal in Dangerous Drugs Form

🏥 Health & Social Welfare
Form, License, Manufacture, Deal, Dangerous Drugs, Department of Health
  • Director-General of Health