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Application for Registration as Authorized Person e-Form

Notes:

  1. Item marked with * is compulsory field.

Guidance on Application for Registration as Authorized Person

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 correct. I hereby authorize the Pharmacy and Poisons (Manufacturers Licensing) Committee to verify the foregoing information in any manner as it deems fit and obtain relevant information from relevant organisations or persons.
 
Full name of Signatory:
Date: (dd/mm/yyyy)
 
 
(Revised in 02/2025)
 
Please enter the five letters as shown above.