5
An Association Representing Pakistan’s leading Tibbi Pharmaceuticals Manufacturer’s Membership Performa Section 1: 11. Library Medical Books Science Books Medical Journals Allopathic Books Medical Magazines Other Books 10. Offices Reception Office of the Manager Other Offices Main Office Head Office 9. Hygienic Conditions According to Location ( surroundings ) A B C Within the Company/ Departments etc A B C 8. Structural Design RCC / RBC Sheds Plastered Walls Beams Wooden Sheds Plastered Floors 7. Building Total Area Courtyard Lawn Map of the Building Approved Constructed Area Number of Floors Please attach copy 6. No of Products / Medicines of the Company Powder Sticky electuary Ointments Pills Leavened electuary Tooth Powders Tablets Electuaries Eye Drops Capsules Medicated Puddings Ear Drops Syrups Oils Balms Extracts Concoctions Jams Sauce Other Medicines Total Medicines 1. Company Contacts: Company Name: ________________________________________________________________________________________________ Office Address: _________________________________________________________Phone No: _____________Fax No: ___________ Factory Address: ________________________________________________________Phone No: _____________Fax No: ___________ 2. Status of the Company: Sole Proprietorship (Singly Owned): ___________________ Partnership: ______________________________________ Private Limited: ___________________________________ Public Limited: ____________________________________ 3. Registration of the Company: Yes / No. __________________ In case of yes Reg. No. __________________ 4. National Tax Number (NTN) Yes / No: __________________ National Tax. No: ________________ Attach copy in case of holding an NTN 5. Date / Year of the Establishment of the Company:

PTPMA Registration Form

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Page 1: PTPMA Registration Form

An Association Representing Pakistan’s leading Tibbi Pharmaceuticals Manufacturer’s

Membership PerformaSection 1:

11. Library Medical Books Science Books Medical Journals

Allopathic Books Medical Magazines Other Books

10. OfficesReception Office of the Manager Other Offices

Main Office Head Office

9. Hygienic Conditions

According to Location ( surroundings ) A B CWithin the Company/ Departments etc A B C

8. Structural Design

RCC / RBC Sheds Plastered Walls

Beams Wooden Sheds Plastered Floors

7.Building

Total Area Courtyard Lawn Map of the Building Approved

Constructed Area Number of Floors Please attach copy

6.No of

Products / Medicines

of the Company

Powder Sticky electuary Ointments Pills Leavened electuary Tooth Powders Tablets Electuaries Eye Drops Capsules Medicated Puddings Ear Drops Syrups Oils Balms

Extracts Concoctions Jams

Sauce Other Medicines Total Medicines

1. Company Contacts:

Company Name: ________________________________________________________________________________________________

Office Address: _________________________________________________________Phone No: _____________Fax No: ___________

Factory Address: ________________________________________________________Phone No: _____________Fax No: ___________

2. Status of the Company:

Sole Proprietorship (Singly Owned): ___________________Partnership: ______________________________________Private Limited: ___________________________________Public Limited: ____________________________________

3. Registration of the Company:

Yes / No. __________________

In case of yes Reg. No. __________________

4. National Tax Number (NTN)

Yes / No: __________________

National Tax. No: ________________

Attach copy in case of holding an NTN

5. Date / Year of the Establishment of the Company:

Page 2: PTPMA Registration Form

Section 2

1. Syrups Division

UtensilsSilver Iron

Stainless Steel Other Metals

Containers for Syrups

Silver Zinc

Stainless Steel Plastic

ConcoctionsAutomatic Plant Cylinder

Stainless Steel Other Metals Stainless Steel Other Metals

Washing of Bottles

Automatic Plant Manual

Drying of Bottles

Automatic Plant

Electric Sui Gas Oil/WoodManual

Syrup filling & Sealing

Automatic Plant Manual

Filling Pump Screen Sealing Machine Filling Sealing

2. Electuary Division Mixing Filling

Manual Automatic Manual Automatic

3. Pills & Tablets Section

Granulating Machine Polishing Machine

Pills Making Machine Manual

Sugar Coating Semi/ fully: Automatic

Page 3: PTPMA Registration Form

8. Scientific Laboratory:

Section III

1.Essential Accessories

4. Capsules Section

Automatic

Manual

5. Labeling of Medicines

Automatic

Manual

6. Packing Section

Automatic

Manual

7. Kitchen Fly / Mosquito Proof Yes

No

Fuel Gas Oil Wood

In charge of the Division

Qualification

Experience

Additional StaffAttibba Chemists Pharmacist Microbiologists

9.StoresRaw Material Packing Material Finishing Material Chemicals

Page 4: PTPMA Registration Form

2.Professional Staff

Water WASA Supply Local Electric Pump Hand Pump

Private Water Tank

FuelGas Oil Wood

ElectricityDrainage Sewerage

Scientists

Ph. D

Chemists

Pharmacists

Microbiologists

HakeemsStrength

Experience

Others

Page 5: PTPMA Registration Form

3. Publications Books Journals Magazines Literature

4. Instruments & Equipments as a whole can be categorized

as:

Mechanized Semi Mechanized Manual

5. Additional Features(If Any)


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