Exporting (certifying) country Importing (requesting) country Name, dosage (pharmaceutical) form and composition of the product [active ingredient(s) and amount(s) per unit dose] Information on registration (licensing) and marketing (presence on the market) status of the product in the exporting country Number of product license (including license holder details, license holder’s involvement in manufacturing if any) and date of issue, if applicable Appended summary of technical basis on which the product has been licensed (if required by the issuing authority) Appended current product information Details on the applicant for the CPP If marketing authorisation is lacking in the exporting country, information about reasons