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Centrally Sponsored Scheme of Quality Control of Ayurveda, Siddha ...

Centrally Sponsored Scheme of Quality Control of Ayurveda, Siddha ...

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ROFORMA -5APPLICATION FORM FOR GRANT-IN-AID UNDER THE SCHEME TO ASSISTAYURVEDIC, SIDDHA AND UNANI DRUGS MANUFACTURING UNITS HAVING ATURNOVER OF UPTO RS. 20.00 CRORE FOR ACQUIRING US FDA/EU GMPCERTIFICATION FOR THEIR UNITS.1. Name and address <strong>of</strong>manufacturing unit. (License/GMPCertificate should be attached).2. Number and Year <strong>of</strong> registrationunder Companies/SocietiesRegistration Act with 5 yearTrading Pr<strong>of</strong>it & LossAccount/Sales Tax return as pro<strong>of</strong><strong>of</strong> turnover.3. Detailed Project Report indicatingcurrent infrastructure status andinfrastructure/manpowerrequirement to obtain US FDA/EUGMP accreditation independentlyevaluated by an accreditation/certification agency notified for thispurpose by US FDA/EUGMP/PHARMEXCIL.4. Appraisal <strong>of</strong> the ScheduledCommercial Bank alongwithundertaking that the loan has beensanctioned and would be disbursedon sanction <strong>of</strong> the project by Govt.<strong>of</strong> India.(Subsidy to be released only afterdisbursal <strong>of</strong> loan andaccreditation).5. Name <strong>of</strong> regulatory agency whosecertification has to be obtainede.g. WHO, US FDA/EU, etc. andpro<strong>of</strong> <strong>of</strong> initiation <strong>of</strong> contact withthat agency.6. Details <strong>of</strong> any assistance takenfrom Deptt. <strong>of</strong> AYUSH/Deptt. <strong>of</strong>Science & Technology/DBT/ Deptt.<strong>of</strong> Chemicals in the last 5 yearswith details.7. Signature & name <strong>of</strong> the ManagingDirector with Seal.

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