Application for Registration as Authorized Person e-Form

PART A: CATEGORY OF APPLICATION
Application for*	Authorized Person for Pharmaceutical Manufacturers Authorized Person for Pharmaceutical Manufacturers of Advanced Therapy Products Authorized Person for Pharmaceutical Manufacturers of Medical Gases Authorized Person for Seconday Packaging Manufacturers
PART B: DETAILS OF APPLICANT
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PART C: QUALIFICATION AND EXPERIENCE
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PART D: DECLARATION OF THE APPLICANT
* I wish to apply for registration as Authorized Person under the Pharmacy and Poisons Ordinance. I hereby declare that the information given in this application is true and corr

Full name of Signatory:	Full name of Applicant
Date:	Date(dd/mm/yyyy)

(Revised in 07/2024)

Please enter the five letters as shown above. Please enter the five letters as shown above.

PART A: CATEGORY OF APPLICATION