Surgical Instrument Manufacturers Association Pakistan Membership Form 2013 by mariarobert18

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									     The Surgical Instruments Manufacturers Association of Pakistan
           Near Sublime Chowk, Near Marala Road, Sialkot – Pakistan Tel: 052-3554890, 3562940, 3563014 Fax: 052-3554217
                                       Email: info@simap.org.pk URL: www.simap.org.pk


                                       PARTICULARS OF THE APPLICANT
1.     Name of the Firm / Company ______________________________________________________________________________________

2.     Full Address ____________________________________________________________________________________________________

       _______________________________________________________________________________________________________________

3.     Telephone No. _________________________________________       Fax No. ______________________________________________

4.     E-mail _______________________________________________        Website ______________________________________________

5.     Mobile No. ____________________________________________       No. of Employees ______________________________________

6.     Classification of Business                                Type of Business

             Exporters                                                 Surgical Instruments
             Importers                                                 Dental Instruments
             Manufacturers                                             Veterinary Instruments
       Others _____________________________________________            Manicure & Pedicure Instruments
                                                                       Orthopedics Instruments
                                                                 Others ___________________________________________________
7.     Certificates (e.g. ISO, CE, etc.) ____________________________________________________________________________________

8.     N.T.N No. __________________________________________      Sales Tax No. _____________________________________________

9.     Name of the Bankers _____________________________________________________________________________________________

10. Particulars of Directors / Partners / Proprietor

                              Name                                                              CNIC No.

      i. _______________________________________________                 __________________________________________________

     ii. _______________________________________________                 __________________________________________________

    iii. _______________________________________________                 __________________________________________________

     iv. _______________________________________________                 __________________________________________________

     v. _______________________________________________                  __________________________________________________

     vi. _______________________________________________                 __________________________________________________

11. Years of Establishment ___________________________________________________________________________________________

12. Name & Designation of the person who will represent the Firm / Company in the Association

___________________________________________________________________________________________________________________
.


                                                                         Sign & Stamp _____________________________________

								
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