Vendor Registration
* All fields must be filled.
Name Of Company* :
Contact Details :
a.
Name Of Contact Person/Proprietor*
b.
Regd. Office Address :
Phone No
Fax
Email * :
c.
Work Address :
Phone No :
Fax :
Email :
d.
WebSite :
Company Establishment Year :
Number of staff members(including marketing personnel) :
Presently Distributor of which companies(Country) :
Product range dealing with :
a.
Pharmaceutical Product(Allopathic Medicines) :
b.
Herbal Materials :
c.
Cosmetics :
d.
Packing Material :
e.
Pharma Equipments :
f.
Other - Please Specify :
How do you come to know about Vasu Healthcare Pvt. Ltd. :
a..
Reference :
b.
Website/Search :
c.
Exhibition :
d.
Advertisement :
e.
Other - Please Specify :
Major Client List :
( 1 ):
( 2 ):
( 3 ):
Last three Years turnover (in Rs.) :
Company Brief Profile* :
Any Other information(if you want to mention):
Security Code * :
