STATE BOARDS

Gujarat State Board

CHAIRMAN

Dr. Shrenik K Shah (Managing Director)

MONTAGE LABORATORIES PVT. LTD.

At-Dhandha, Idar Road, Himatnagar 383 001. Gujarat.

02772-222684

info@montagelabs.com || shrenik@montagelabs.com

www.montagelabs.com

HON. SECRETARY

Sumit Agrawal (Partner)

ISHITA PHARMACEUTICALS

401, 3rd Eye Two, Opp Parimal Garden, Ahmedabad 380006

9825023743 || 7226995613

sumit@ishitadrugs.com

www.ishitadrugs.com

EXECUTIVE SECRETARY

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INDIAN DRUG MANUFACTURERS’ ASSOCIATION (GUJARAT STATE BOARD)

4 Park Avenue, 1st Floor, Parimal Garden Cross Road, Nr. Gujarat Gas Co, Ellisbridge, Ahmedabad - 380006.

+91-79-26406680

idmagsb@gmail.com

www.idma-assn.org

Company Name* :

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GST No.* :

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1.Principal Member

Sr No.	Particulars	Annual Membership Subscription	GST @18% ₹	Total Amount ₹

2.Corporate Membership

Sr No.	Particulars	Annual Membership Subscription	GST @18% ₹	Total Amount ₹

3.Associate Company Member

Sr No.	Particulars	Annual Membership Subscription	GST @18% ₹	Total Amount ₹

4.Associate Academic Member

Sr No.	Particulars	Annual Membership Subscription	GST @18% ₹	Total Amount ₹

Membership No :
Company Name :
Expired On :

1.Principal Member

Sr No.	Particulars	Current Membership	Membership Surcharge @20%	Amount	GST @18%	Total

2.Corporate Membership

Sr No.	Particulars	Current Membership	Membership Surcharge @20%	Amount	GST @18%	Total

3.Associate Company Member

Sr No.	Particulars	Current Membership	Membership Surcharge @20%	Amount	GST @18%	Total

4.Associate Academic Member

Sr No.	Particulars	Current Membership	Membership Surcharge @20%	Amount	GST @18%	Total

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Ahmedabad( user can select multiple )

Ahmedabad
Surat

Approval	Validity	Delete
Ahmedabad Ahmedabad Surat

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