applicationformforimporteddrugsupplementaryregistretion進(jìn)口藥品補(bǔ)充申請(qǐng)表格-資料下載頁(yè)
2025-01-07 11:29本頁(yè)面
【正文】 ted Drugs Foreign Packaging Factory): Chinese Name: English Name: Legal Representative: Position: Registered Address: Country or Region: Head of An Application for Registration: Positions: Tel: Fax: Email: Legal Representative (Signatures): (Department Official Seal) Month Day, Year 30 Institutions 4 (Imported Drugs sub Packaging Factory): Chinese Name: English Name: Organization code: Pharmaceutical production license No.: Legal Representative: Position: Registered Address: zip code: Postal address: zip code: Head of An Application for Registration: Positions: Tel: Fax: Email: Mobile phone: Legal Representative (Signatures): (Department Official Seal) Month Day, Year 31 Institutions 5 (Registration Agency of Imported Drugs): This agency is responsible for payment Chinese Name: English Name: Organization Code: Legal Representative: Position: Registered Address: Zip Code: Contact Address: Zip Code: Head of an Application for Registration: Position: Contact: Position: Phone : Fax : Email: phone: Legal Representative (Signatures): (Department Official Seal) Month Day, Year 32 Commissioned Research Institutions: No program for Research Name of the institution Responsible person Tel. Authorities After reviewed, the table is in line with the form with the request. Authorities: Reviewer (Signatures) Date:
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