UCMPMD Services

Uniform Code for Medical Device Marketing Practices

Guidelines

View UCMPMD guidelines and regulations

Complaint

File a complaint regarding violations

Marketing Expenditure

Disclose marketing expenditure details

Self Declaration

Submit self declaration form

UCMPMD 2024 - Form for Disclosure of Marketing Expenditure

All fields are mandatory

Company/Entity Information

1. (a) Name of company/entity *

1. (b) Corporate Identity Number (CIN) / Foreign Company Registration Number (FCRN) *

1. (c) Address of the registered office of the company/entity *

1. (d) Email address of company/entity *

1. (e) Phone number of company/entity *

1. (f) Permanent Account Number (PAN) of company/entity *

3. Particulars to be filled by company/entity

Field Name	Value
Return for financial year
Domestic sales revenue (in Crore)

Free Samples

Particulars	Expenditure incurred (in lakh rupees)	Number of recipient Healthcare professionals
Free samples distributer (monetary value of sample packs)

Education Programmes

Particulars	Expenditure incurred (in lakhs)	Number of events
Education programmes* organised directly by company/entity
Education programmes* organised through third parties, including associations, bodies etc:

Remarks/comments/notes detailing methodology adopted for calculating expenditure figures disclosed above

List of locations where above events were organised, along with the number of events organised at each location *

*Education programmes include continuous medical education / continuing professional development, conferences, workshops, trainings, seminars etc.

**Expenditure includes all expenses incurred for the event, including sponsorship, travel, lodging, hospitality, advertisements, stalls (including payment directly made to third-party vendors), souvenirs, etc. For expenditure valuation, in case of in-house production, the price to stockist to be used and in case of third-party manufacturing, the purchase price is to be used.

Declaration (to be digitally signed by affixing the digital signature certificate)

1. I declare that I have read the UCMPMD Code 2024 and the information furnished in this form is in compliance with the said Code.

2. I further declare that the company/entity has complied with and shall continue to abide with the provisions of the said Code and shall extend all the required assistance to the authorities for its implementation.

3. I further declare that the information given in this form is true to the best of my knowledge and belief.

Email *

Phone number *

Digital signature certificate *

Designation *

Director identification number (DIN) or PAN of executive head of company/entity *