Licensee/Applicant Sign Up

Welcome to Licensee/Applicant Sign Up

Firm / Company Information

Name*

Constitution *

PAN No. of the Firm / Company *

Upload PAN*

Note : Accepts Only PDF and Maximum Size is 2 mb.

Constitution member(s) details

Sr No	Name*	Designation*	Address*	Contact Number*	Email ID*	Remarks	Action
1

Address of Premises

Address Line 1*

Address Line 2*

Address Line 3

Pin Code*

State

District*

Village/Town/City*

Same As Above

Firm / Company Address

Address Line 1*

Address Line 2*

Address Line 3

Pin Code*

State

District*

Village/Town/City *

Purpose of Applying

License Type*

Purpose Apply *

ASU(Ayurveda, Siddha, Sowa Rigpa, Unani)

Homoeopathy

Testing Laboratory for ASU(Ayurveda, Siddha, Sowa Rigpa, Unani) Drugs

Authorized Person

Name*

Mobile Number*

Email ID*

OTP

Licensee/Applicant Sign Up

Welcome to Licensee/Applicant Sign Up

Firm / Company Information

Constitution member(s) details

Sr No

Name*

Designation*

Address*

Contact Number*

Email ID*

Remarks

Action

Address of Premises

Firm / Company Address

Purpose of Applying

Authorized Person