Applicant’s details
22.—(1) An applicant (other than an applicant which is a body corporate) must provide the following information—
(a)full name;
(b)gender;
(c)date of birth;
(d)address and telephone number;
(e)a declaration that he or she is a registered pharmacist; and
(f)professional registration number and date of first registration in the register.
(2) An applicant which is a body corporate must provide the following information—
(a)full name;
(b)company registration number;
(c)registered office and telephone number relating to that office;
(d)a declaration that it is a person who is or who will be lawfully conducting a retail pharmacy business in accordance with section 69 of the Medicines Act 1968;
(e)registration number in the Register of Premises maintained by the General Pharmaceutical Council;
(f)details of any relevant list from which it has been removed or contingently removed, or to which it has been refused admission or in which it has been conditionally included, on fitness grounds, with an explanation as to why.