Pharmexcil

PHARMACEUTICALS EXPORT PROMOTION COUNCIL OF INDIA
(Set up by Ministry of Commerce & Industry, Govt. of India)

12th-Annual-Meet-of-Council
Business Meetings
at Hyderabad
21st - 23rd September, 2016

Registration Form

Non-member

Member

1. Fill Company name, Address, RCMC No and Product details:


Company Name :
Address :
Company Phone :
Fax :


RCMC No. of the company :
Range of Products (Please specify your top 10 products):
Company Email :
Website :

2. Company Profile:


Company Profile :

3. Category:

4. No of Days:

Dates & Timings

21.09.2016

Day 1

10:00 a.m to 05:00 pm

22.09.2016

Day 2

10:00 a.m to 05:00 pm

23.09.2016

Follow Up Day

10:00 a.m to 12:30 pm

All registered delegates are allowed free of cost

5. Delegate Particulars:

Name

Designation

Office Phone

Mobile Phone

Photo

Upload Photo

ADD

Sl. No

Name

Designation

Office Phone

Mobile Phone

Photo

Amount

Delete

6. Payment Details(Reservation Only):

Payment Type	DD/NEFT/Cheque No.	Date	Name of the bank	Amount
DD/NEFT Cheque Reservation

Note: Demand Draft / Cheque should be drawn in favour of PHARMACEUTICALS EXPORT PROMOTION COUNCIL OF INDIA at Hyderabad or Mumbai.

Payment also can be transferred to our Bank A/c: PHARMACEUTICALS EXPORT PROMOTION COUNCIL OF INDIA

Account No: 067001601000012
Bank Name: Corporation Bank, S R Nagar Branch, Hyderabad
IFSC/RTGS code: CORP0000670
Service Tax: AADCP 4643 CSD001
PAN NO: AADCP 4643 C

Head Office	Regional Office	Regional Office
Hyderabad 101, Aditya Trade Centre, Ameerpet, Hyderabad - 500038, India. Phone: 91 - 40 - 23735462 / 5466 Fax : 91 - 40 - 23735464 Email: info@pharmexcil.com	Mumbai Unit No. 211, 1st Floor, T.V. Industrial Estate, 248-A, S.K. Ahire Worli, Mumbai - 400 030. Phone: 91 - 22 - 24938750 / 51 Fax: 91 - 22 - 24938822 Email: romumbai@pharmexcil.com	New Delhi 305, Padma Tower II 22, Rajendra Place New Delhi - 110008 Phone: 91 - 11 - 45062550 Fax: 91 - 11 - 41536658 Email: rodelhi@pharmexcil.com