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Dealership form format in word 2026

The document is a sample application form for obtaining a New Wholesale Dealer’s Licence for human use from the Medicines and Healthcare products Regulatory Agency (MHRA). It outlines the necessary information required from applicants, including personal details, company information, site details, responsible persons, and various declarations. The form includes sections for administrative data, site activities, personnel qualifications, and submission instructions.

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Click ‘Get Form’ to open the dealership application form in the editor.
Begin by filling out your personal details in the 'Persons completing the application form' section, including your title, first name(s), surname, and contact details such as telephone and email.
In the 'Type of Application' section, select whether you are applying for a Wholesale Dealer’s licence (WL) or General Sales List only (GSL).
Complete Section 1: Administrative Data by providing company information, including the registered company name, trading style, and contact person details.
Proceed to Section 2: New Site Information. Fill in site details such as site number, address, and DUNS number. Ensure to indicate if this is the main site.
In Section 3: Site Personnel, provide information about new Responsible Persons. Include their contact details and confirm their qualifications.
Finally, review all sections for accuracy before signing the declaration in Section 4. Ensure all required documents are attached before submission.

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