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Application e-Form for Licence for Manufacturer of Pharmaceutical Products

 

Notes:

  1. Item marked with * is compulsory field.
Application for Licence for Manufacturer of Pharmaceutical Products*
Application for Licence to Manufacture Dangerous Drug*

Guidance on Application for Licence for Manufacturer of Pharmaceutical Products

PART A: DETAILS OF APPLICANT

(As stated on Business Registration Certificate/ Hong Kong Identity Card)
Name of Business (in English):*
Name of Business (in Chinese):
:*

:

:
:* -
:* :
:*
:*
: :* ()
:* :
: :
 

PART B: DETAILS OF KEY PERSONNEL

:*
: :* ()
:* :
 
:
: : ()
:
 
:*
: :* ()
 
:*
: :* ()

PART C: PARTICULAR OF BUSINESS AND PRODUCTS

Scope of Business:
 
 
Nature of Products:
 
 
Dosage Forms of Products Manufactured:
 
 

PART D: FOR ADDITIONAL WAREHOUSE ONLY

:
: sq. m.
: -
:
: : ()
:
 

PART E: APPLICATION FOR CERTIFICATE FOR MANUFACTURER

We also wish to apply for a Certificate for Manufacturer* Yes
No
 

PART F: PHARMACIST IN CHARGE OF DANGEROUS DRUGS


Please click if you want to nominate more than one pharmacist.
:*
:*
:* :* ()
: :
: :
 

PART G: DECLARATION OF APPLICANT

 
Full name of Applicant:*
Position of the Applicant:*
Signed on behalf of:*
Date:* (dd/mm/yyyy)
 
 
(Revised in 02/2025)
 
Please enter the five letters as shown above.