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QUESTIONNAIRE FOR PM

Performa – I

Packing Material (PM) cost study-2009 for formulation units

Name of the company :

Address of the Registered Office and Factory :

Type of formulations produced by the company e.g.

Plain / coated / multi-layered / sustained release tablet, soft / hard / printed

Capsules, sterile / non-sterile liquids / powder / ointment / cream etc.

Details of packing material used as per table below during the year 2008 – 09

S. No Name of the formulation Type of the dosage form Pack Size Type of Packing as (ST/BL/Amp./Vial, Glass Bottle, Plastic Bottle etc. Average weight* for tablet / size”” of capsule / size of bottle / ampoule / vial etc. Specification of packing material as thickness*” of foil, AL/PVC/PVDC type of vials / ampoules, Tube**, Glass Bottle, Plastic Bottle etc. Justification for specific requirement of the packing material as used in formulation
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7

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8

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* In case of tablet please furnish average seight of 100 tablets
”’ In case of capsule please furnish size as 00, 0, 1, 2, 3 or upto 7.5 minm, 7.5 to 14 minim, over 14 minim in the case of soft capsule
*” Thickness of aluminium foil may be indicated as 0.02, 0.025, 0.03, above 0.03 mm
** Usage of tube may be indicagted as latex lined, Laquered, Unlaquered, Aluminium/ Poly tube
Similar specifications may be provided to differenciate the usage of primary packing material

 

Performa – II

Packing Material (PM) cost study-2009 for formulation units

Name of the company

Address of the Registered Office and Factory

 

S. No Name of the packing material Specification Invoice No. / Date supplier’s Name Unit (Rs.) Quantity Purchased (Rs.) Basic rate (Rs.) Excise Duty (Rs.) ST (Rs.) Freight (Rs.) Octroi (Rs.) Other incidental (specify) (Rs.) Less Cenvat (Rs.) Net Price (Rs.) Net price per unit
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)

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Note: (I) The above information is required to be furnished for all the varieties / types of packing material details indicated in Performa – I
(II) The above information may be furnished for the period of last 3 months and copies of relevant invoice be furnished in respect of last three months only
If there is not purchase during last three months then copies of latest invoice in each case may be furnished

(Signature with date of Authorised Signatory)

 

 

Performa – III

Packing Material (PM) cost study-2009 for formulation units

Name of the company

Address of the Registered Office and Factory

Packing material cost per batch in respect of each type of dosage form / formulation packs may be furnihsed as under.

Name of the product
Composition
Batch Size (No. of packs)
Packing material cost per batch

 

S. No Name of the packing material with description Unit Existing rate per unit (Rs.) Quantity required per batch Value of packing material per batch (Rs.)
(1) (2) (3) (4) (5) (6)

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Total

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Process Loss as per norms

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Total packing material cost

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Packing material cost per pack = Total PM cost / Number of pack as per batch size

(Signature with date of Authorised Signatory)

Last Page Updated: 01-11-2018