The document is a self-declaration form providing employment history, education history, and a statement agreeing to abide by pharmacy rules. It lists the applicant's name, address, and 5 previous employment positions including organization name, address, designation, and dates. If not working, a notarized affidavit is required. It also lists 4 previous education programs including course, college, university, and dates. The applicant declares being a permanent Andhra Pradesh resident and not working two places at once, and agrees to follow the Pharmacy Act of 1948.
