Bulk Drug Manufacturers Association (India) - Membership - Membership Form

Membership Form

Please Print & Fax to us

BULK DRUG MANUFACTURERS ASSOCIATION (INDIA)
C-25, Industrial Estate, Sanathnagar, Hyderabad 500018
Phones: 23703910, 23706718, Tel. Fax : 23704804

eMail: info@bdm-assn.org & hyd2_bdmahyd@sancharnet.in
Visit Us: www.bdm-assn.org

ORDINARY/ASSOCIATE MEMBERSHIP APPLICATION FORM

Name of the Company

 

 

 

Address

 

 

 

Telephone & Fax

 

 

eMail

 

 

Website

 

 

Name of the Chief Exe.

 

 

A. Designation:

 

 

B. Residence Telephone No.:

 

 

Year of Establishment

 

(License copy to be enclosed)

 
Products
 

A. Products Manufacturer:

 

B. Turn Over of the Company for 200 - 200:

Fee Structure

A. Admission Fee:

Rs 1,000/-

B. Membership Fee For Ordinary Members:

Turnover (Crores)

10

11 - 20

21 - 50

51 - 100

101 - 500

500

FEES (Rs)

5,000/-

10,000/-

17,500/-

25,000/-

35,000/-

50,000/-

(C) Membership Fee For Associate Members : Rs 2,500/-

10. PAYMENT PARTICULARS:

 

       
       

DETAILS OF THE PROPOSER

Name of the Proposer

Designation

Name of the Company

Members No.

SIGNATURE OF THE PROPOSER

For Office Use