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Delegation to AFRICAN Countries 2023 (Tanzania, Ghana & Nigeria)
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* Indicates required question
Name of the Organization
*
Your answer
IEC No.
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Your answer
Name of the Person (full name as per passport)
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Your answer
Designation
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Your answer
Mobile/Contact Number
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Your answer
Email id
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Your answer
Address of the Company
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Your answer
HS Code
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Your answer
Quality Approvals from Competent Authority
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WHO-GMP
USFDA
EU-GMP
PICS
Other:
Required
Product Profile (Please select application areas of the product categories you deal with)
*
Formulations
Pharma Ingredients
AYUSH
Herbal
Vaccines
Bio Pharmaceuticals
Alternative Medicines
Medical Devices/PPE Kits
Analytical/Consulting Services
Contract Services
Other: _______________________________________________________
Required
Brief Profile of Organization (100 words only*)
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Your answer
Kindly specify the existing business in this region
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Your answer
CIN Number
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Your answer
DIN/ if Delegate is Director
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Your answer
Passport Number
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Your answer
Date of Issue
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MM
/
DD
/
YYYY
Validity of Passport
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MM
/
DD
/
YYYY
Place of Issue
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Place of Birth
*
Your answer
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