Health Policy Issues and Health Programmes in ... - Amazon S3

Streamlining the Drug Procurement and Supply System in UttaranchalAnnexGovernment of the National Capita Territory of DelhiDirectorate of Health ServicesC P A CellE-Block: Saraswati Bhavan: Connaught Place: New DelhiSl. No. __________Form for pre-qualification for supply of drugs to the Government of NCT of Delhi.PART - IGeneral:1. Name of the tenderer _________________________________________________________2. Full postal address_______________________________________________________________3. Telephone no. __________________________________________________________________Fax no. ________________________________________________________________________4. State whether the tenderer is small-scale, ___________________________________________medium-scale, organised sector (Indianor multinational firm/company)5. Names of persons who are responsible for the conduct of business as explained underSection 34 of the Drugs and Cosmetics Act, 1940.Sl. No. Name Father’s/Husband’s Name Age Residential Address6. Particulars of licences held under the Drugs andCosmetics rules including date of grant of licence:Renewed upto _____________________________(attach photocopy of Drug Licence along with list of items permitted).Notes1. If the licences are under renewal, a certificate from the State Drugs Controller in whosejurisdiction the factory is located, stating that the licences are under renewal and the sameare deemed in force, should be attached with this tender form.2. If the drugs are manufactured under any loan, licence/marketing arrangements with fulldetails should be provided.223