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Structure of Firm (Proprietor /Partner) Name of Prop/ Partner /Director Tel No. Office/Landline Resi Mobiles Drug Licence No. 20B 21B TIN No. & CST No. Prefered Transport & Courier No. of Years In Pharma Industry Name of Company last worked with Expected Business per month INR Tentative Investment Current Turnover (If any)(Yearly) Companies already working for Bank Details (Name of Bank and address) Acount No "C" Form & Road Permit Marketing Style No of field colleagues (Med Reps) No of Doctors to be covered
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Ethical / Generic
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Product dicsal-sr Fenasal-MR Fenasal-P Gulspas Koldorid Panav-D Pranzep Salof-200 Salof-OZ Saltip-625 Salvica-200 Trunac-P Aukvit Aurab DSR Lycoza Omesal-D Panav-DSR Lycoza Syrup Salzyme Syrup Salgotus Perky Value add tax @ 6.05%
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Value 500 1000 480 550 550 1300 300 1000 1600 3000 3200 960 1600 1100 1100 650 600 1140 1330 1300 1400 24660 26152