PCMIS UPDATE FORM

FOR OFFICE REFERENCE

Request No.

Date

Department/Unit Name:

Database Module:

Applicant Name

Position:

Premises/Personnel Name

PIN/FIN

Description

REQUESTED CHANGE

Please select (√) the change category as per below list

1. Change of Name of Premises/Outlets:

2. Change of Ownership:

3. Change of Location of Premises/Outlets:

4. Additional of type of Business:

5. Change of Superintendant:

6. Removal of Personnel/Premise Debts:

7. Any other changes:

ATTACHMENTS

Please provide any attachments (if neccessary)

I acknowledge and agree that the information submitted along with this request form are genuine and the information provided is true, complete and accurate to the best of my knowledge.

Online Support

Toll Free:
0800110015
Mobile
+255736222503
+255736222514
+255736222516
+255736222517

Contacts

PC HQ - Dodoma Office:

Postal Address

Pharmacy Council
P.O. Box 1277
Dodoma
Tanzania

Physical Address

NHIF Building, 1st Floor, UDOM Road
dodomahq@pc.go.tz
info@pc.go.tz

PC - Eastern Zone Office DSM:

Postal Address

Pharmacy Council
P.O. Box 31818
Dar Es Salaam
Tanzania

Physical Address

Off Mandela Road, TFDA Campus, EPI Mabibo
registrar@pc.go.tz
info@pc.go.tz

Usermanual

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