TGA use only This form, when completed, will be classified as 'For official use only'. For guidance on how your information will be treated by the TGA see: Treatment of information provided to the TGA at <>. Request for certificate, or notarised copy of TGA licences and certificates, in relation to the manufacture of therapeutic goods Number of Request for Yes copies Certificate of GMP Compliance Note: For Licensed Australian medicinal product manufacturers only. N/A A certificate produced with a unique number. Electronically signed and issued by e-mail to the Client Notarised copy of original Certificate of GMP Compliance Notarised copy of original GMP Licence Quality Systems Certificate Note: For medical device manufacturers holding a TGA Conformity Assessment Certificate only Notarised copy of original Quality Systems Certificate Certificate of GMP Compliance for Mutual Recognition Agreement (MRA) Note: For Licensed Australian medicinal product manufacturers only. N/A For an EU or EFTA Regulatory Agency, HSA Singapore or Health Canada. A certificate produced with a unique number. Electronically signed and issued by e-mail to the Client Manufacturer details Name: TGA Client ID: Manufacturing site address: Licence no:
TGA use only This form, when completed, will be classified as 'For official use only'. For guidance on how your information will be treated by the TGA see: Treatment of information provided to the TGA at <>. Request for certificate, or notarised copy of TGA licences and certificates, in relation to the manufacture of therapeutic goods Request for Yes Number of copies Certificate of GMP Compliance Note: For Licensed Australian medicinal product manufacturers only. A certificate produced with a unique number. Electronically signed and issued by e-mail to the Client N/A Notarised copy of original Certificate of GMP Compliance Notarised copy of original GMP Licence Quality Systems Certificate Note: For medical device manufacturers holding a TGA Conformity Assessment Certificate only Notarised copy of original Quality Systems Certificate Certificate of GMP Compliance for Mutual Recognition Agreement (MRA) Note: For Licensed Australian medicinal product manufacturers only. For an EU or EFTA Regulatory Agency, HSA Singapore or Health Canada. A certificate produced with a unique number. Electronically signed and issued by e-mail to the Client N/A Manufacturer details Name: TGA Client ID: Manufacturing site address: Licence no: