SFDA

Note:

Authorized Signatory / Responsible person of the organization should fill the form.
All fields marked with asterik (*) are mandatory. Only PDF documents with size not more than 10 MB are permitted.
Registration Steps
1. After submitting the Registration Form, Self approval will be done via Mobile/ Email OPT verification.
2. If the applicant is already registered, then there is no need to register again.
If the Undertaking PDF does not contain interactive fields, you can use the Fill & Sign tools to fill out the form. Save the form on your computer, and then open it directly in Acrobat Reader
Kindly upload pdf files having extension .pdf ,system will not accept files having extension .PDF .
Pdf file name should not contain dot(.) .

Applicant Details

Applicant Type:*

User-Name:*

Password:* Only Best Passwords are accepted

Confirm Password:* Only Best Passwords are accepted

Name:*

I am Authorized person on behalf of firm to register and for uploading data

Mobile Number:*

+91

Enter Mobile OTP:

Enter the OTP Code you have received on your Mobile No.

Sending the Mobile OTP may take 5 -15 minutes, Press the Resend button, in case OTP is not received

Gender:*

Male Female

Nationality:*

ID Proof Details:*
(Single PDF < 10 MB)

download

Undertaking:*
(Single PDF < 10 MB)

download

Designation:*

Occupation Type:*

Registered Office Address Details

Hospital/Organization Name:*

Organization Type:*

CIN (Corporate Identification Number):

PAN (Permanent Account Number):

Organization Address *

Country*

State*

District*

City/Taluka/Mandal/Tehsil*

Pin Code*

Contact No.* (Please include STD Code - Phone Number)

+91

Multiple Contact Numbers can be added with comma separation

Fax No. (Please include STD Code - Fax Number)

+91

Multiple Fax Numbers can be added with comma separation

Upload Address Proof Details *
(Single PDF < 10 MB)

download

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