Form:

VI-PFR

Regulation Section: 36 & 38 APPLICATION FOR FULL REGISTRATION OF MEDICINES I/we ……………………………………………….hereby apply for registration of the product specified below for sale/distribution in Bhutan. Type of medicines (Circle the appropriate one):

i. Allopathic

ii. gSo-ba-rig-ba iii. GSL

Details of Medicinal Product (Use one application per product) Product

Pack

Composition (With Strength)

Manufacturer

Proposed name of the Market Authorization Holder: Application fee has been deposited to the Royal Government of Bhutan vide Revenue Receipt no …………………. (Attach copy) Declaration (please tick the boxes) I hereby declare that the documents submitted above/all information provided is true to my knowledge and will be liable for any consequences if any information provided is proved to be false or misleading. If my application is granted, I shall abide by the Medicines Act and Medicines Regulations and any other standards set by the Authority. Signature of applicant: Name: Address: Date: ………………….....

Application form for full registration of medicines.pdf

Type of medicines (Circle the appropriate one): i. ... Application form for full registration of medicines.pdf. Application form for full registration of medicines.pdf.

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