New Membership

Apply for KCDA Membership

For new stores that do not yet have a member ID

Personal Information

Full Name *

Email *

Phone *

Profile Photo

Shop Details

Shop Name *

Storefront Photo

Shop operate 24/7? *

Zone *

Full Address *

Pharmacist/Component Person Details

Name *

Designation *

Registration Number *

Valid Upto *

Profile Photo *

License Information

License Holder Name *

Drug License Number *

License Expiry Date *

Food License Number *

GST Number

PAN Card Number

Proprietor Aadhar Card Number *

Payment Details

Scan & Pay UPI ID: mskcda@sbi Membership fee as informed by KCDA

How to find transaction number

Open your UPI app after payment.
Go to payment history.
Open the KCDA payment entry.
Copy UPI transaction/reference number and paste below.

Transaction Number *

I hereby undertake that all information submitted above is true and correct, and I agree to follow KCDA policies and applicable regulatory requirements. *