APPLICATION FORMAT FOR REGISTRATION OF FIRMS
Name of� Firm
Address of the Firm
Name of dealing official
Phone & Mbl. No. of dealing official
Manufacturing License no. / Issued by/ Validity. (Attach Photocopy)
WHO/ GMP Certificate no. / Validity.
ISO - 9000 Certification no./ Issued by
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Average Annual Turnover (attach Audited Statement of last 3 yrs.)
Performance Report from other Govt. Organizations.
Experience in Manufacturing & Marketing. (in years).
Product list of items manufactured by the firm. (Detailed List to be attached)
Product list of items marketed by the firm. (Detailed List to be attached)
I/We declare that the above information is correct to the best of my/our knowledge & there was no major punitive action taken/ pending against the firm by any Govt. agency.
Signature of the authorized signatory of the firm
(Seal of the firm)