where applicant is a body corporate): Date: Part 4 Application to pack medicines I hereby make application for a licence to pack the medicines listed below (attach extra list if insufficient space provided here). Indicate in the third column whether the medicine is a prescription medicine, restricted medicine, or pharmacy-only medicine. Appropriate designation Trade name of medicine Class Premises where packing and labelling will be carried out: I enclose the fee of: Signature of applicant (or Common Seal where applicant is a body corporate): Date: Part 5 Application to sell medicines by wholesale I hereby make application to sell by wholesale the following medicines (attach extra list if insufficient space provided here): Premises from where medicines are to be sold: I enclose the fee of: Signature of applicant (or Common Seal where applicant is a body corporate): Date: Part 6 Application to sell medicines by retail I hereby make application to sell by retail the following medicines (attach extra list if insufficient space provided here): Premises from where medicines are to be sold: I declare the above premises are more than 10 kilometres by road from the nearest pharmacy. The reasons for this application are: I enclose the fee of: Signature of applicant (or Common Seal where applicant is a body corporate): Date: Part 7 Application to hawk medicines I hereby make application for a licence to hawk medicines. Premises where stock of medicines will be kept: Place where records of sale of medicines will be kept: Geographical area in