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Applications and notifications about pharmaceutical products dealership

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Permission application (please apply by about one month of ※ business start date.) of pharmaceutical products dealership

1.Store dealership permission application (29,000 yen Saga income certificate stamp)

    ○Word Store dealership permission application We open with the other window(word: 35 kilobytes)

  *Word Attached sheet "summary of structure facilities" We open with the other window(word: 35.1 kilobytes)

    *Word Attached sheet "summary of sale or the system conferring of pharmaceutical products" We open with the other window(word: 17.2 kilobytes)

  ※Attached documents "3 is reference with attached documents accompanied with store dealership permission application and wholesale dealership permission application"

 

 

2.Wholesale dealership permission application (29,000 yen Saga income certificate stamp)

    *Word Wholesale dealership permission application We open with the other window(word: 24.2 kilobytes)

  Word Attached sheet "summary of structure facilities" We open with the other window(word: 15.9 kilobytes)

  ※Attached documents "3 is reference with attached documents accompanied with store dealership permission application and wholesale dealership permission application"
 
 

3."Attached documents" accompanied with store dealership permission application and wholesale dealership permission application

(1) Applicant in the case of "corporation"

  ○Matter to be registered certificate

  *Word Duties division of duties table We open with the other window(word: 28.5 kilobytes)

    ※Please state working officer about pharmaceutical affair clearly.

    ※Store dealership is unnecessary

  *Word Medical certificate We open with the other window(word: 32 kilobytes) of representative

  *Word Medical certificate of officer about pharmaceutical affair or excuse book We open with the other window(word: 34 kilobytes)

   ※Representative, please submit "medical certificate".

   ※Other than the representative, please submit "medical certificate or excuse book".

 
(1) Applicant in the case of "individual"

  *Word Medical certificate We open with the other window(word: 32 kilobytes)

 

(2) Documents about manager

  *Word The employment certificate We open with the other window(word: 52.5 kilobytes)

  ○Documents (as for pharmacist license, the copy of sale engagement registration document: by principle, the original presentation) which prove qualification

  * When registration distributor becomes store manager
   Word Duties engagement certificate We open with the other window(word: 45 kilobytes) (proof of period when worked as registration distributor, and engaged)
   Word Business engagement certificate We open with the other window(word: 41 kilobytes) (proof of period when engaged in business with management of pharmacist or registration distributor and instruction as general worker)
   Word Duty situation report We open with the other window(word: 61 kilobytes)
   ※ When registration distributor who passed registration distributor test before 2014 becomes store manager, by provisional measure, is engagement certificate during until August 1, 2021
    And submission of duty situation report is unnecessary.
 
(3) Documents (only as for the qualified person) about person of duty

  *Word The employment certificate We open with the other window(word: 52.5 kilobytes)

  ○Documents (pharmacist license, copy of sale engagement registration document: by principle, the original presentation) which prove qualification

 
(4) List of working manager and qualified people

  *Word List of manager and qualified people We open with the other window(word: 51 kilobytes) 

 

(5) Store, documents about structure facilities of office

  ○Store, ground plan, plan of office

  ○Neighboring sketches (map)

 

(6) When we perform specific sale (it applies only to ※ store dealership)

  *Word Specific sale notification form We open with the other window(word: 28 kilobytes)

  ○Explanation information about method of specific sale (only when necessary)

※In the past permission application, we may omit about documents which have been already submitted. Please refer.

※In addition, the above-mentioned documents mentioned above may be necessary as we list standard attached documents.
 
 
 

Update (please apply by about one month of the end for validity of ※ permission.) of pharmaceutical products dealership permission

1.Store dealership and wholesale dealership permission update application (11,000 yen Saga income certificate stamp)

 *Word Pharmaceutical products dealership permission update application We open with the other window(word: 22.8 kilobytes)

 

 

2."Attached documents" accompanied with store dealership and wholesale dealership permission update application

 ○The original of permit

 * Identification of attendance completion (possible copying) which the outside training conduct organization issued or record of attendance that store distributor stores

 

 

Change of pharmaceutical products dealership permission

1.Contents change that was admitted of store dealership and wholesale dealership

 *Word Change notice We open with the other window(word: 34 kilobytes)
 ※Attached documents accompanied with "2 or ".allowed contents change of store dealership 3 "attachment
  We refer to documents
 
 

2."Attached documents" accompanied with admitted contents change of store dealership and wholesale dealership (become Notifecations within 30 days after ※ change.)

(1) In the case of change of "full name (including change of officer who conducts affairs about pharmaceutical affair when it is in corporation) of applicant or address"

  ○When meet individual; copies of a person's family register

  ○When is in corporation; matter to be registered certificate

  *Word Medical certificate of officer who is new when it is in corporation or excuse book We open with the other window(word: 34 kilobytes)

   ※Representative, please submit "medical certificate".

   ※Other than the representative, please submit "medical certificate or excuse book".

 

(2) In the case of change of "name of office" (only as for ※ wholesale dealership)

   ※Attached documents unnecessary

 

(3) In the case of change of "phone number or other contact information in at the time of consultation and Emergencies" (only as for ※ wholesale dealership)

   ※Attached documents unnecessary

 

(4) In the case of change of "the number of duty hours per store, full name, address of manager of office or week" (※ wholesale dealership does not need the "number of duty hours per week" change procedure.)

  *Word The employment certificate We open with the other window(word: 52.5 kilobytes)

  ○Documents (as for pharmacist license, the copy of sale engagement registration document: by principle, the original presentation) which prove qualification

  * When registration distributor becomes store manager
   Word Duties engagement certificate We open with the other window(word: 45 kilobytes) (proof of period when worked as registration distributor, and engaged)
   Word Business engagement certificate We open with the other window(word: 41 kilobytes) (proof of period when engaged in business with management of pharmacist or registration distributor and instruction as general worker)
   Word Duty situation report We open with the other window(word: 61 kilobytes)
   ※ When registration distributor who passed registration distributor test before 2014 becomes store manager, by provisional measure, is engagement certificate during until August 1, 2021
    And submission of duty situation report is unnecessary.
 

(5) In the case of change of "the number of pharmacist except manager, full name of registration distributor or duty hours per week"

  *Word The employment certificate We open with the other window(word: 52.5 kilobytes)

  ○Documents (pharmacist license, copy of sale engagement registration document: by principle, the original presentation) which prove qualification

 

(6) In the case of change of "main parts of structure facilities"

  ○Ground plan (thing after changing before change)

  ※Please talk about large structure facilities change beforehand to have possibilities to correspond to new permission application by the contents.

 

(7) In the case of change of "normal business day and business hours" (only as for ※ store dealership)

  ※Attached documents unnecessary

 

(8) In the case of change of "division of sale, pharmaceutical products to confer in the store" (only in ※ store dealerships, specific sale is excluded)
  ※Attached documents unnecessary

 

 

3."Attached documents" accompanied with admitted contents change of store dealership (become ※ prior Notifecations.)

(1) In the case of change of "name of store"

  ※Attached documents unnecessary

 

(2) In the case of change of "phone number or other contact information in at the time of consultation and Emergencies"

  ※Attached documents unnecessary

 

(3) In the case of change of "use or nonuse of specific sale"

  * In the case of "existence" "Wordspecific sale notification form" We open with the other window(word: 28 kilobytes)

  ※When necessary, it is explanation information about method of specific sale

 

(4) In the case of change of "matter (except summary of constitution of main homepage) about specific sale"

  Oh, specific means of communication to use when we sell
    ※When necessary, it is explanation material
 
  Division of i specific pharmaceutical products selling
    ※Attached documents unnecessary
 
  Time to perform cormorant specific sale
    ※Attached documents unnecessary
  
  Oh, when display official name and different name for advertisement of specific sale, the name

     ※Attached documents unnecessary

 

  Homepage address as the master of o

    ※When necessary, it is explanation material

    ※When there are passwords necessary for reading of the homepage concerned, please list the passwords in the remarks column in addition.

  

  Summary of facilities necessary for supervision that ka Saga is appropriate

    ※When necessary, it is explanation material

 

 

4.Others

 ※As it becomes new permission application, please talk about cases that case and store, office where establisher was changed moved to beforehand.

 

The abolition, stop, the reopening (you submit ※ abolition notice within 30 days after the abolition, and please talk about stop, resumption beforehand.) of pharmaceutical products dealership

1.Report of abolition

 *Word Report of abolition We open with the other window(word: 37 kilobytes)

 ○The original of permit

 
 

2.Report of stop

 *Word Report of stop We open with the other window(word: 37 kilobytes)
 * Written reasons of stop

  ※We assume about three months limit and recognize cessation assuming reopening.

  ※ When there is not plan of resumption, we do not recognize cessation.

 

3.Report of resumption

 *Word Report of resumption We open with the other window(word: 37 kilobytes)

 

 
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Inquiry
(ID: 34184)
Saga prefectural government office (corporation number 1000020410004) 〒 840-8570  1-1-59, Jonai, Saga-shi   Tel: 0952-24-2111 (main)     
Copyright© 2016 Saga Prefecture.All Rights Reserved.

Saga prefectural government office (corporation number 1000020410004)

〒840-8570
1-1-59, Jonai, Saga-shi
Tel: 0952-24-2111 (main)
Copyright© 2016 Saga Prefecture.All Rights Reserved.