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    Customer Registration of Arbro Pharmaceuticals Pvt. Ltd.

    Uploaded by

    sahil satpute
    The document is a customer registration form for a pharmaceutical company that collects contact information, billing addresses, payment details, and assigned support staff for a new customer. It requests names, phone numbers, emails, and physical addresses for billing, technical support contacts, and accounts personnel. The form also includes fields for a customer ID number, quotation number, contract number, and industry type.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Customer Registration of Arbro Pharmaceuticals Pvt. Ltd.

    Uploaded by

    sahil satpute
    57 views2 pages
    The document is a customer registration form for a pharmaceutical company that collects contact information, billing addresses, payment details, and assigned support staff for a new customer. It requests names, phone numbers, emails, and physical addresses for billing, technical support contacts, and accounts personnel. The form also includes fields for a customer ID number, quotation number, contract number, and industry type.

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    The document is a customer registration form for a pharmaceutical company that collects contact information, billing addresses, payment details, and assigned support staff for a new customer. It requests names, phone numbers, emails, and physical addresses for billing, technical support contacts, and accounts personnel. The form also includes fields for a customer ID number, quotation number, contract number, and industry type.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    57 views2 pages

    Customer Registration of Arbro Pharmaceuticals Pvt. Ltd.

    Uploaded by

    sahil satpute
    The document is a customer registration form for a pharmaceutical company that collects contact information, billing addresses, payment details, and assigned support staff for a new customer. It requests names, phone numbers, emails, and physical addresses for billing, technical support contacts, and accounts personnel. The form also includes fields for a customer ID number, quotation number, contract number, and industry type.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ARBRO

    PHARMACEUTICALS LIMITED
    (Analytical Division)
    CUSTOMER REGISTRATION FORM
    *Company Name:
    *Address:

    *Phone 1: *Mobile:
    Phone 2: Fax:
    *E Mail: Web Site:

    For: Reports (Technical): -


    Name: Designation:
    Phone 1: Mobile:
    Phone 2: Fax:
    E Mail: CRM:
    For: Accounts:-
    Name: Designation:
    Phone 1: Mobile:
    Phone 2: Fax:
    E Mail: Contact No. (CRM):
    Check If Billing Address & Sample Collection Address is same
    (If “No” Please fill the details mention below)
    For: Accounts (Billing Purpose) : -
    Company Name:
    Name: Designation:
    Address

    Phone : Mobile: Fax:


    E Mail:
    For Payment Information
    *Payment Type: Cheque Demand Draft Other
    *TDS Deduction Yes NO
    ( If Yes Please fill the details mention below)
    *PAN NO:
    *TAN NO:
    *Percentage of TDS:

    *Customer ID NO:

    Authorized Name & Signature: Seal & Signature

    Date:
    FOR OFFICE USE ONLY

    Account Manager: E.mail I.D.:


    Name: Contact No.
    Area Manager: E.mail I.D.:
    Name: Contact No.
    Customer coordinator: E.mail I.D.:
    Name: Contact No.
    Technical Manager : E.mail I.D.:
    Name: Contact No.
    Level 2 Technical Support : E.mail I.D.:
    Name: Contact No.
    Quotation No.:
    ARC (Contract)No.:
    Industry Type:
    Any other information:

    Verified By: -
    Name, Signature, Date:
    Telephone Fax Visit E.mail
    Approved By: -
    Name: Designation:
    Phone 1: Mobile:
    Phone 2: Fax:
    E Mail: CRM:

    Enclosed:

    Seal & Date

    Contract:
    Quotation:
    Performa Invoice:
    Any Other:

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