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Type of Products*  
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Type of Company* Manufacturer   Agent
Company Name*  
Address*  
Country*  
PIN*  
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Contact Person*  
Designation*  
Contact No.*  
Email Id*  
Mode of Supply*   Direct Local Distributor C&F Agency
Contact Person*  
Designation*  
Contact No.*  
E-mail Id*  
Sales Tax Registration   State Central
Registration No.  
ISO Certification   Yes No
Approved by FDA/WHO*
(Only for Pharmaceuticals)		   Yes No
 
 
   
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