Application for Renewal of Registration as Authorized Person e-Form

PART A: CATEGORY OF APPLICATION
Application for*	Renewal of Registration as Authorized Person for Pharmaceutical Manufacturers Renewal of Registration as Authorized Person for Pharmaceutical Manufacturers of Advanced Therapy Products Renewal of Registration as Authorized Person for Pharmaceutical Manufacturers of Medical Gases Renewal of Registration as Authorized Person for Seconday Packaging Manufacturers
PART B: DETAILS OF APPLICANT
:*
:
:*
	()

:*
:*
:*
:*
:
:
:
:*




PART C: DECLARATION OF THE APPLICANT
* I wish to apply for renewal of registration as Authorized Person under the Pharmacy and Poisons Ordinance. I hereby declare that the information given in this application is true and correct.

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