Titan Biotech Limited - Dealership Form

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	Dehydrated Culture Media, Protein Hydrolysate (Soya, Casein) (Liquid & Powder), Dried Yeast(Active & Inactive), Yeast Extract Powder, Bile Extract and Salts, Liver Extract (Powder & Liquid), Peptone (Soya, Casein, Meat), Calcium & Sodium Caseinate, Beef Extract Powder, Pancreatin.


Product Name		Product Code

Dehydrated Culture Media | Plant Tissue Culture Media | Lab Chemicals & Reagents | Bulk Products View Cart (0)

DEALERSHIP QUESTIONNAIRE

Titan Biotech Limited is pleased to invite Candidates who wish to represent our company as a Dealer. The Candidates for the above purpose are requested to fill up the enquiries given below:

1. Dealer Name :

2. Address of Regd. Office/Showroom :

Phone :

E-mail :

3. Contact Person :

Phone :

E-mail :

4. Organization-
Proprietorship/Partnership/Company :

5. List of Directors :
(Name, Address & their Phone No.)

6. Dealership/Stockistship held of other
Companies :

7. Storage Facilities :

8. List of Customers :

9. Business Turnover :

10. Expected turnover with Titan :

11. Tax Details :

TIN No. :

LST No. :

CST No. :

PAN No. :

Central Excise No. :

13. Bankers Name, Address and Phone No. :

Type of A/C : (CA / SB / CC)

14. No. of Employees :

15. No. of Vehicles :

Statements given above are true to the best
of my knowledge and I / we abide by that

Titan Media Applications

Agriculture

Biochemical Identification Of Microorganisms

Breweries

Clinical Microbiology

Cosmetics

Dairy Microbiology

Environmental Control

Pharmaceutical and Healthcare

Water and Waste Water

Home \| Product Catalogue \| Enquiry Form \| About Us \| Contact Us Corporate Office: A-2/3, 303-305, IIIrd Floor, Lusa Tower, Azadpur Commercial Complex, Azadpur, Delhi - 110033, India Works: A-902A, RIICO Industrial Area Phase-III, Bhiwadi-301019 (Raj.) India
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