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Bishak Pharma Private Limited
"Kamineni", Ground Floor, King Koti, Hyderabad - 500 001
Vendor Registration Form
STATUS
Company
Firm
Proprietor
Group company / Subsidy of
(max 30 characters a-z and A-Z)
Contact Person Name
(max 30 characters a-z and A-Z)
Designation
Department
EMAIL ID
Address Line-1
Address Line-2
CITY
Pin/Zip Code
(6 digit number)
STATE
COUNTRY
Phone
Fax
Mobile No
(10 digit number)
Annual Turnover
(Last Financial year)
Number of Employees
Number of Employees
Tick Whichever is applicable
Manufacture
Super Stockist
C&F Agent
Distributor
Mention the companies for which
Sl No
Stockist
C&F Agent
Distributor
1
2
3
4
5
6
7
8
9
10
Company Profile (a brief desctiption on the mojor activities of your organisation, your set up etc.)
Major Achievement/ Awards
Bankers Name
Your operating account Number, IFS Code
Branch Name
Bank Address
Statutory Requirements
ECC No
EXCISE RANGE
EXCISE DIVISION
EXCISE COLLECTORATE
TIN No.
CST No.
PAN No.
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