Schedule I: Information Required For Registration of A Device
Schedule I: Information Required For Registration of A Device
Annexure 11
From A
Regulation 4 (3)
SCHEDULE I
INFORMATION REQUIRED FOR REGISTRATION OF A DEVICE.
1. Name of applicant: -
2. Address: - ...
3. Status of applicant : Manufacturer: - ..
Importer: - ..
4. Name of the device: - ........................
Brand Name (If any): - .
Official or approval name: - .
5. A certificate from the health authorities of the country in which it is produced, confirming that
the device is in use there and the period of use and if not, reasons for not marketing it in the
country of manufacture.
6. List of countries in which the device is approved or registered for sale.
7. Fully packed samples of the device in the form that will be offered for sale should also be sent
to enable study of the product. ( If requested)
LABELLING
8. The container of every device imported, manufactured, processed or packed locally or sold or
exposed for sale shall have labels bearing the following information clearly indicating.
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
9.
10. All data should be submitted in English, in a hard file cover in duplicate.
II
Form B
Regulation 4 (4)
SCHEDULE I
APPLICATION FORMS FOR CERTIFICATE OF REGISTRATION A DEVICE BY
AN IMPORTER.
(TO BE FILLED IN TRIPLICATE BY APPLICANT)
I / We
.......
Of .
Hereby apply for a registration of the device namely.
..
Details of which are enclosed herewith.
Date: .
Signed .
Address
Designation of applicant
.