ASSOCIATED BIOTECH

WORKS: KISHANPURA, GURUMAJRA ROAD, SOLAN, HP

Corp. Office: 1st Floor, Plot No 361, Industrial Area Phase1 Panchkula Haryana -134113
Customer Registration Form (2019-20)

Company Name: MATERIA MEDICA PHARMACEUTICALS

KARWA BABA CHOUCK, NEW COLONY , PURANI BASTI ,
DISTRICT BASTI , U.P 272002
Address(Correspondence):
ASHUTOSH MODANVAL
Contact Person / Phone No. / Mail Id: /9140538060/ASHUINDIAN1402@GMAIL.COM
Purchase

ASHUTOSH MODANVAL
/9140538060/ASHUINDIAN1402@GMAIL.COM
Accounts Person / Phone No. / Mail ID:

Company Turn Over / annum

Name Of Director/s
Contact Details of Director/s
KARWA BABA CHOUCK, NEW COLONY , PURANI BASTI ,
DISTRICT BASTI , U.P 272002
Billing Address:
DL No. (Billing Address) 20B:37/NB/WS/BST/2013,21B:38/B/WS/BST/2013
GSTIN NO. 09AQFPM6378L1Z3
PAN No. ( Co.) AQFPM6378L
Payment Mode / Terms : NEFT

Payment terms 25% Advance while placing order & 75% against Ready product
KARWA BABA CHOUCK, NEW COLONY , PURANI BASTI ,
Delivery Address: DISTRICT BASTI , U.P 272002
Marketed By : MATERIA MEDICA PHARMACEUTICALS, S.P.O BAIT AL
ZUBAIR APARTMENTS,DOOMAPPA COMPOUND,
PANDESHWARA, MANGLORE 575001 (KARNATAKA)
Product Development Charges : Rs. 5000/- per product
KARWA BABA CHOUCK, NEW COLONY , PURANI BASTI ,
DL No. (Delivery Address): DISTRICT BASTI , U.P 272002
Contact Person & Phone No. at Hub
Mail ID (HUB):
Transporter Name : DELHI KANPUR TRANSPORT CO.
Undertaking / Insurance Policy No.
Any Special Instruction for 1
Dispatch / Product Analysis
Report 2
DETAILS : ASSOCIATED BIOTECH
Contact Person : Ashish Sharma(9875985506)
Mail id : sales.bd@associatedbiotech.com

MNB/06/307 & MB/06/308 & , GST NO.

DL No./GST NO
02AALFA5132G1ZY
Associated Biotech, Axis Bank Ltd., Sai Road Baddi
Account Details Himachal Pradesh - 173205 , A/c No. 918030071454055,
IFSC Code- UTIB0000366
 ASSOCIATED BIOTECH
WORKS: KISHANPURA, GURUMAJRA ROAD, SOLAN, HP
Corp. Office: 1st Floor, Plot No 361, Industrial Area Phase1 Panchkula Haryana -134113
Customer Registration Form (2019-20)

Company Name:

Address(Correspondence):

Contact Person / Phone No. / Mail Id:

Purchase

Accounts Person / Phone No. / Mail ID:

Company Turn Over / annum

Name Of Director/s
Contact Details of Director/s

Billing Address:
DL No. (Billing Address)
GSTIN NO.
PAN No. ( Co.)
Payment Mode / Terms :
Credit Limit (Amount)
Credit Limit (time Period)
Delivery Address:
Marketed By :
Product Development Charges :
DL No. (Delivery Address):
Contact Person & Phone No. at Hub
Mail ID (HUB):
Transporter Name :
Undertaking / Insurance Policy No.
Any Special Instruction for 1
Dispatch / Product Analysis
Report 2
DETAILS : ASSOCIATED BIOTECH
Contact Person : Ms.SUMAN (9875985945)
Mail id : Sales2@associatedbiotech.com

DL No./GST NO MNB/06/307 & MB/06/308 & , GST NO.

02AALFA5132G1ZY
Associated Biotech, Axis Bank Ltd., Sai Road Baddi
Account Details Himachal Pradesh - 173205 , A/c No. 918030071454055,
IFSC Code- UTIB0000366