National Emblem
Central Bureau of Narcotics
(Psychotropic Substance Control System)
CBN Logo
Application form for Registration of Manufacturers of Bulk Drug(s) of Psychotropic Substances
1. Details of Manufacturer *   (All Fields Marked * are Mandatory)
(i) Name of the Company/Firm *
(ii) Company/Firm Under Special Economic Zone (SEZ) *
Note: A company/ firm, which have units within as well as out-side SEZ, will have to obtain two separate Registrations
(iii) Address of Registered Office  
Address Line 1*
Address Line 2
Address Line 3
Village/Town/City*
Pin Code*
State*
District*
(iv) Address of Corporate Office  
Address Line 1*
Address Line 2
Address Line 3
Village/Town/City*
Pin Code*
State*
District*
(v) Contact Details of Authorized Signatory *
RemoveNameDesignationTel No with STD CodeMobile No with Country CodeFax No with STD CodeEmailPrimary







Note : The verification mail and all communications will be sent to the Primary Authorized Signatory
(vi) PAN No. of the company/ Firm *
(vii) Website Address
2. Certification Details
(i) Company Incorporation Certification Details
(a) Certificate No.
(b) Date of Issue
(c) Issuing Authority
(ii) Details of IE Code by DGFT
(a) IE Code
(b) Date of Issue
Type the characters you see in the picture :
Characters* (Image Characters are Case Sensitive)