Kolkata (West Bengal) Noida (Uttar Pradesh)

Dr. Narman Bethun Sarani, Salepur (East) Plot no - A94/7, Sector-58,

PO.+PS. - Baruipur, Dist - 24 PGS (South)

S SastaSundari Pin Code-700144

Noida, Gautam Buddha Nagar,
Uttar Pradesh, Pin Code-201301
health & happiness Bhiwandi (Maharashtra)
Doc-1,2 &3, Ground Floor, Rajlaxmi Textile Park, Bldg No. L10, Property No.
33/L10, S. No. 81/3 Part &91/1-Apart, Bhiwandi, Thane 25, Pin Code-421302

VENDOR/SUPPLIER EMPANELMENT FORM

1. Name of Vendor: Hexagon Nutrition Limited
2. Status of Vendor (Proprietor, Firm, LLP, OPC, LLC, Company): Company
3. Category of Vendor (Manufacturing, Marketing, Authorised Distributor, Super Stockist, Wholesaler, Reseller, Others):

Manufacturing
4. Category of Product (Pharma/OTC/Admin/IT/Assets/Others): Pharma (Health & Nutrition)

5. Proprietor/ Partners / Director's Name: Dr. Nikhil Kelkar (Director)

6. Registered Office Address: 4th Floor, 404, Global Chambers, Adarsh Nagar,
off Link Road, Andheri West, Mumbai, Mumbai Suburban, Mumbai MAHARASHTR
Pin Code No:
400053
7. Email id: healthcare@hexagonnutrition.com
8. Mobile No (Proprietor / Partners / Directors): 9049069601
9. Contact Person: Samant Gadhavi
Mobile No. 8976723420 Phone No.

10. Trade License No: 1335920

11. Drug License: D.L. Expiry Date:

12. FSSAI License No.: 10018022007420 Expiry Date: 10-04-2024

13. PAN No: AAACH2359E

14. MSME Vendor: Yes Yes/No IfYes then MSME Reg. No. UDYAM-MH-23-0005455
15. GST No: 27AAACH2359E1ZT

16. Bank Details: HEXAGON NUTRITION LTD-HC Online

1) Bank Name & Branch Address: CITIBANK, FORT

I1) Bank A/C No: 0710279098
I) Payment Mode (NEFT/RTGS/CHEQUE/DD): NEFT/RTGS IFSC: CITI0100000
17. Terms & Conditions: For a stuck inventory will plan for marketing activities and promotions.

) Return Policy & Adjustment: Returns not accepted, more then 90 days inventory will 100% help for
) Payment Terms: 21 days
I) Delivery at: Hexagon Nutrition Limited, Plot No 92A, Unandanagar Lakhmapur Phat
I/We shall abide by the Anti-bribery and Anti-Corruption Policy of Documents Required:
SastaSundar Group, a copy of same has been handed over to 1) Photocopy of PAN, GST Certificate, Trade ticense, Dru8
me/us and I/We have fair understanding about this policy. Licence, FSSAI Certificate, Tan Certificate, Copy.of lDard
Resolution for Authorization andMSME Reg. Certificate
All disputes will be subjected to the jurisdiction of the courts in Kolkata only. (if applicable).
2) Cancelled Cheque

This form is applicable to all

SastaSundar Group Companies
Verified by (For SastaSundar Group) Seal & Signature of Vendor
Date: SASTASUNDAR HEALTHBUDDY LTD Date:
NDIA)
(Formerly known as Microsec Health Buddy Limited)
Regd. Office: Innovation Tower, Premises No. 16-315, Plot No. DH 6/32, Action Area -1D, New 1Town, Rajarhat,
700156. Tel: +9133 6651 2100;
Kolkata
-

Fax:+91 33 6651 2110; Email: care@sastasundar.com; Website: www.sastasundar.com