Get Msd-1101 Enrolment Application Form As Indenter - Medical Stores

The Msd-1101 Enrolment Application Form is essential for institutions seeking to enroll as indenter on the Government Medical Store Depot. This guide provides clear and structured instructions on how to complete the form online efficiently.

Follow the steps to complete the enrolment application form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in your chosen online editor.
2. Fill in the name of the institution, hospital, or dispensary enrolling as an indenter. This should be done in clear block letters for legibility.
3. Provide the full address of the indenter, including the post office, telephone number, and fax number.
4. Indicate the nearest railway station for easier location reference.
5. Enter the name of the administrative authority responsible for the institution along with their designation.
6. Provide the address of the administrative authority, including the post office, telephone number, and fax number.
7. Specify the name of the administrative controlling authority at the state level.
8. Indicate the designation of the administrative controlling authority at the state level.
9. Provide the address for the administrative controlling authority at the state level, including post office, telephone number, and fax number.
10. State the minimum value of the requirements that will be indented annually.
11. Select whether the institution is Government or Non-Government.
12. Provide the name and designation of the officer responsible for payment to the medical stores depot.
13. Confirm whether the terms and conditions mentioned in the document are acceptable to the institution.
14. State if the request for enrolment has been routed through the Head of Department or other competent authority.
15. Add the signature of the administrative authority of the institution.
16. Include the counter signature of the controlling authority.
17. Affix the official stamp of the controlling authority.
18. Once the application is fully completed, save any changes made, download or print the form for your records, and share it as necessary.

Complete your Msd-1101 enrolment application form online today to ensure your institution is enrolled successfully.