Membership Performa
Section 1:
1. Company Contacts:
Company Name: ________________________________________________________________________________________________
Office Address: _________________________________________________________Phone No: _____________Fax No: ___________
Factory Address: ________________________________________________________Phone No: _____________Fax No: ___________
Yes / No.
__________________
__________________
__________________
6.
No of
Products /
Medicines
of the
Company
Powder
Pills
Tablets
Capsules
Syrups
Sticky electuary
Leavened electuary
Electuaries
Medicated Puddings
Oils
Ointments
Tooth Powders
Eye Drops
Ear Drops
Balms
Extracts
Concoctions
Jams
Sauce
Other Medicines
Total Medicines
7.
Building
Total Area
Courtyard Lawn
Constructed Area
Number of Floors
8. Structural
Design
RCC / RBC
Beams
Sheds
Wooden Sheds
Plastered Walls
Plastered Floors
9. Hygienic
Conditions
10. Offices
11. Library
A
A
B
B
C
C
Reception
Main Office
Other Offices
Medical Books
Allopathic Books
Science Books
Medical Magazines
Medical Journals
Other Books
Section 2
1. Syrups Division
Utensils
Containers for
Syrups
Concoctions
Washing of
Bottles
Drying of
Bottles
Silver
Iron
Stainless Steel
Other Metals
Silver
Zinc
Stainless Steel
Plastic
Automatic Plant
Cylinder
Stainless Steel
Other Metals
Stainless Steel
Automatic Plant
Other Metals
Manual
Automatic Plant
Electric
Sui Gas
Manual
Oil/Wood
Automatic Plant
Filling Pump
2. Electuary Division
Mixing
Manual
Manual
Screen
Sealing Machine
Filling
Sealing
Filling
Automatic
Manual
Automatic
Polishing Machine
Manual
Semi/ fully: Automatic
4. Capsules
Section
Automatic
5. Labeling of
Medicines
Automatic
6. Packing
Section
Automatic
7. Kitchen
Manual
Manual
Manual
Yes
Fuel
Gas
Oil
Wood
No
8. Scientific Laboratory:
In charge of the
Division
Qualification
Experience
Attibba
Chemists
Pharmacist
Microbiologists
Additional Staff
9.Stores
Section III
1.Essential Accessories
Raw Material
Packing Material
Finishing Material
Chemicals
Water
WASA Supply
Gas
Fuel
Oil
Drainage
Electricity
2.Professional Staff
Ph. D
Scientists
Chemists
Pharmacists
Microbiologists
Strength
Hakeems
Experience
Others
Private Water
Tank
Hand Pump
Wood
Sewerage
3. Publications
5. Additional Features
(If Any)
Books
Mechanized
Journals
Semi Mechanized
Magazines
Literature
Manual