APPLICATION FORMAT FOR REGISTRATION OF FIRMS
1. | Name of� Firm | |
2. | Address of the Firm | |
3. | Phone. | |
4. | Name of dealing official | |
5. | Phone & Mbl. No. of dealing official | |
6. | Manufacturing License no. / Issued by/ Validity. (Attach Photocopy) | |
7. | WHO/ GMP Certificate no. / Validity. (Attach Photocopy) | |
8. | ISO - 9000 Certification no./ Issued by . & validity (Attach Photocopy)������������������ | |
9. | Average Annual Turnover (attach Audited Statement of last 3 yrs.) | |
10. | Performance Report from other Govt. Organizations. | |
11. | Experience in Manufacturing & Marketing. (in years). | |
12. | Product list of items manufactured by the firm. (Detailed List to be attached) | |
13. | Product list of items marketed by the firm. (Detailed List to be attached) | |
Declaration:
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)
