applicationformforimporteddrugsupplementaryregistretion進(jìn)口藥品補(bǔ)充申請(qǐng)表格-資料下載頁(yè)
2025-08-21 01:08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, Year30 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:
Mobilephone: Legal Representative (Signatures): (Department Official Seal)
Month Day, Year31 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:Noprogram for ResearchName of the institutionResponsible person Tel.AuthoritiesAfter reviewed, the table is in line with the form with the request.Authorities: Reviewer (Signatures) Date:
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