Home Services Forms T & c. FAQ.

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T & c.
FAQ.

Please e-mail the forms to the respective e-mail addresses & help us to share the Pharma Knowledge.

Manufacturer's brand registration form. (4 sheets are to be filled)

Distributor's registration form. (only one sheet is to be filled)

Individual membership form. (only one sheet is to be filled)

Group / Hospitals / Institutions' membership form (only one sheet is to be filled)

 

Note: to fill the forms.

  1. All forms are in spreadsheet format.
  2. Please fill the field as much as you can provide.
  3. As soon as your data / membership updated you will get sms / e-mail confirmation.
  4. For any query please call to 093243 22088.
  5. For self-registration of respective mobile no. please sms the details in the format to 08080099099

REG<space>Member's Name,<Date of Birth(eight digit only/DDMMYYYY)><Postal pin code no. (six digit only)>,<designation with work place address details>

e.g. write sms in following manner to 08080099099

REG Hemang Thakkar,30051971,380001,Partner, United Drug House, 366, Sarvoday Commercial Centre, Near G.P.O., Relief Road, Ahmedabad - 380001.

For quick online registration for auto-reply sms service please fill following details. ( it will take almost two working days to activate the account).

 

Online Registration form
Questions marked by * are required.
1. Name: *
2. Date of Birth (dd/mm/yyyy): *
3. Indian Mobile no. (10 digit only): +91 *
4. Email:
5. Blood Group (Please provide us for doantion in case of emergency only): *
6. Profession: *
7. Qualification: *
8. Organization / Institute name: *
9. Address: *
10. Pin Code no. (6 digit only): *
11. Contact no. 1 (with STD code):
12. Contact no. 2 (with STD code):
13. Fax no. (with STD code):
14. Does you accept the terms & Conditions? *
  • Yes
  • No
 
Contact Information :
 
Helpline : + 91-93243 22088 (Between 12:00 to 16:00 on weekdays).
 
Postal address : Post Box no. 18703, Andheri (East), Mumbai - 400 069. Maharashtra, India.
 
Electronic mail : For Membership registration: member@pharmaatoz.com; pharmaatoz@rediffmail.com
 
                     For Distributors registration: distributor@pharmaatoz.com;pharmaatoz@rediffmail.com
 
                     For Manufacturer to register Product: brand@pharmaatoz.com; pharmaatoz@rediffmail.com

Home Services Forms T & c. FAQ.

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