Loan-licencing | Maxmed Lifesciences - Synergic Combination with Enhanced Efficacy

Loan Licencing

INFORMATION OF BUSINESS ASSOCIATES UNDER "KYC"

NAME OF THE FIRM / COMPANY

ADDRESS 1

PHONE NO.:

FAX NO.:

EMAIL ID:

ADDRESS AND PHONE NO. (FOR SENDING PAYMENT / P. O. / PERMIT / "C" FORM)

PHONE NO.:

FAX NO.:

EMAIL ID:

STATAUS OF THE ORGANISATION :-
Company Partnership Propritoryship Firm

KEY PERSON/ CONTACT PERSON:- Propritory Person/ Partner's name/Director's Name

SIZE OF ORGANISATION:-

REGISTRATION No UNDER MSME Act 2005 :-(medium small & Micro Enterprises Act ) :-

TYPE OF COMPANY:
GOVT. SEMI-GOVT. PRIVATE

PAN NO.:

SALES TAX. NO. / TIN NO.:

CST NO.:

ECC NO. WITH RANGE & DIVISION

SERVICE TAX REGISTRATION (PAN BASED STC CODE)

DRUG LICENSE NO.:

STATE & PLACE OF REGISTRATION:

BANK NAME:

BANK A / C NO.

SIGNED / VERIFIED BY:

Enter the code above here :

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Loan Licencing

INFORMATION OF BUSINESS ASSOCIATES UNDER "KYC"

ADDRESS AND PHONE NO. (FOR SENDING PAYMENT / P. O. / PERMIT / "C" FORM)

REGISTRATION No UNDER MSME Act 2005 :-(medium small & Micro Enterprises Act ) :-

KEEP IN TOUCH

Follow Us on Twitter

Like on Facebook

Linkedin

Request call back

Dry Syrups

Tablets

Dry Injection

Capsules

Sachet

Tablets

Capsules

Dry Syrups

Dry Injection

Sachet