For offline process, please download the form and send us on info@fpmeindia.com

To the Director
'FEDERATION OF PHARMACEUTICAL AND ALLIED PRODUCTS MERCHANT EXPORTERS'
Office No. 6, Ground Floor, Plot 1825, Lotus House, VT Marg, Near Liberty Cinema, Churchgate, Mumbai-400020, Maharashtra

Dear Sir,
Kindly enroll us as Merchant Exporter Member of FPME (FEDERATION OF PHARMACEUTICAL AND ALLIED PRODUCTS MERCHANT EXPORTERS)
Your Name
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Field is required!
  • Select State
  • Andaman and Nicobar Islands
  • Andhra Pradesh
  • Arunachal Pradesh
  • Assam
  • Bihar
  • Chandigarh
  • Chhattisgarh
  • Dadar and Nagar Haveli
  • Daman and Diu
  • Delhi
  • Goa
  • Gujarat
  • Haryana
  • Himachal Pradesh
  • Jammu and Kashmir
  • Jharkhand
  • Karnataka
  • Kerala
  • Lakshadweep
  • Madhya Pradesh
  • Maharashtra
  • Manipur
  • Meghalaya
  • Mizoram
  • Nagaland
  • Odisha
  • Puducherry (Pondicherry)
  • Punjab
  • Rajasthan
  • Sikkim
  • Tamil Nadu
  • Telangana
  • Tripura
  • Uttar Pradesh
  • Uttarakhand
  • West Bengal
Select State
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Postal Address:
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Pincode
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Field is required!
City
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Field is required!
Telephone Number (With STD Code)
Field is required!
Field is required!
Field is required!
Field is required!
Other:
Field is required!
Field is required!

Details of Directors/Partners/Proprietor/Karta to be given in the following manner :

Director-1 / Proprietor / Partner
Field is required!
Field is required!
Director-1 Telephone / Mobile / Whatsapp
Field is required!
Field is required!
Director-1 Email
Field is required!
Field is required!
Director-1 Designation
Field is required!
Field is required!
Director-2 / Proprietor / Partner
Field is required!
Field is required!
Director-2 Telephone / Mobile / Whatsapp
Field is required!
Field is required!
Director-2 Designation
Field is required!
Field is required!
Director-2 Email
Field is required!
Field is required!

Details of Certificate No. & Validity:

IEC No. (Firm)
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Field is required!
RCMC (Firm)
Field is required!
Field is required!
GST No. (Firm)
Field is required!
Field is required!
Wholesale/Retail DL No. (Firm)
Field is required!
Field is required!
PAN No. (Firm)
Field is required!
Field is required!
Please Attach above docs here (Documents are required for Approval of Membership)
IEC, GST No. (Firm), PAN No. , DL No. (Please Do not add more than 5MB file.)
Upload your documents...
Field is required!
Field is required!
I/We hereby solemnly declare that the

a) Above stated information is true and correct. We undertake without any reservation to :
b) I / We are not engaged, directly or indirectly, into any manufacturing activity and agree to inform the Association in case of any change therein.

We further understand that our registration is liable to be cancelled in the event of a breach of any of the undertakings mentioned above.

Note: Membership number will only be granted after the Committee verifies all the information and confirms membership fees payment details furnish.
A copy of your responses will be emailed to the address you provided.

Bank Account Details

Beneficiary Name:
Federation Of Pharmaceutical And Allied Products Merchant Exporters

Beneficiary Address:
Office No. 6, Ground Floor, Plot 1825, Lotus House, Vt Marg, Near Liberty Cinema, Churchgate, Mumbai-20
Bank Name:
Kotak Mahindra Bank Ltd.
Branch Opera House
IFSC Code KKBK0000666

Account No.
4612895863

Account Type
Saving Account

Payment Detail

  • - select a option -
  • Cheque
  • NEFT/IMPS
  • UPI
- select a option -
Field is required!
Field is required!
Transaction Detail (Cheque No. / UTR Code/ Transaction Ref. No.)
Field is required!
Field is required!
To the Director
'FEDERATION OF PHARMACEUTICAL AND ALLIED PRODUCTS MERCHANT EXPORTERS'
Office No. 6, Ground Floor, Plot 1825, Lotus House, VT Marg, Near Liberty Cinema, Churchgate, Mumbai-400020, Maharashtra

Dear Sir,
Kindly enroll us as Merchant Exporter Member of FPME (FEDERATION OF PHARMACEUTICAL AND ALLIED PRODUCTS MERCHANT EXPORTERS)
Your Name
Field is required!
Field is required!
  • Select State
  • Andaman and Nicobar Islands
  • Andhra Pradesh
  • Arunachal Pradesh
  • Assam
  • Bihar
  • Chandigarh
  • Chhattisgarh
  • Dadar and Nagar Haveli
  • Daman and Diu
  • Delhi
  • Goa
  • Gujarat
  • Haryana
  • Himachal Pradesh
  • Jammu and Kashmir
  • Jharkhand
  • Karnataka
  • Kerala
  • Lakshadweep
  • Madhya Pradesh
  • Maharashtra
  • Manipur
  • Meghalaya
  • Mizoram
  • Nagaland
  • Odisha
  • Puducherry (Pondicherry)
  • Punjab
  • Rajasthan
  • Sikkim
  • Tamil Nadu
  • Telangana
  • Tripura
  • Uttar Pradesh
  • Uttarakhand
  • West Bengal
Select State
Field is required!
Field is required!
Postal Address:
Field is required!
Field is required!
Pincode
Field is required!
Field is required!
City
Field is required!
Field is required!
Telephone Number (With STD Code)
Field is required!
Field is required!
Field is required!
Field is required!
Other:
Field is required!
Field is required!

Details of Directors/Partners/Proprietor/Karta to be given in the following manner :

Director-1 / Proprietor / Partner
Field is required!
Field is required!
Director-1 Telephone / Mobile / Whatsapp
Field is required!
Field is required!
Director-1 Email
Field is required!
Field is required!
Director-1 Designation
Field is required!
Field is required!
Director-2 / Proprietor / Partner
Field is required!
Field is required!
Director-2 Telephone / Mobile / Whatsapp
Field is required!
Field is required!
Director-2 Designation
Field is required!
Field is required!
Director-2 Email
Field is required!
Field is required!

Details of Certificate No. & Validity:

IEC No. (Firm)
Field is required!
Field is required!
RCMC (Firm)
Field is required!
Field is required!
GST No. (Firm)
Field is required!
Field is required!
Wholesale/Retail DL No. (Firm)
Field is required!
Field is required!
PAN No. (Firm)
Field is required!
Field is required!
Please Attach above docs here (Documents are required for Approval of Membership)
IEC, GST No. (Firm), PAN No. , DL No. (Please Do not add more than 5MB file.)
Upload your documents...
Field is required!
Field is required!
I/We hereby solemnly declare that the
a) Above stated information is true and correct. We undertake without any reservation to :
b) I / We are not engaged, directly or indirectly, into any manufacturing activity and agree to inform the Association in case of any change therein.

We further understand that our registration is liable to be cancelled in the event of a breach of any of the undertakings mentioned above.

Note: Membership number will only be granted after the Committee verifies all the information and confirms membership fees payment details furnish.
A copy of your responses will be emailed to the address you provided.

Bank Account Details

Beneficiary Name:
Federation Of Pharmaceutical And Allied Products Merchant Exporters

Beneficiary Address:
Office No. 6, Ground Floor, Plot 1825, Lotus House, Vt Marg, Near Liberty Cinema, Churchgate, Mumbai-20
Bank Name:
Kotak Mahindra Bank Ltd.
Branch Opera House
IFSC Code KKBK0000666

Account No.
4612895863

Account Type
Saving Account

Payment Detail

  • - select a option -
  • Cheque
  • NEFT/IMPS
  • UPI
- select a option -
Field is required!
Field is required!
Transaction Detail (Cheque No. / UTR Code/ Transaction Ref. No.)
Field is required!
Field is required!