Section 6 Sponsor declaration Important note Providing information that is false or misleading to a Commonwealth entity or in connection with a Commonwealth law is a serious offence subject to criminal penalties under the Criminal Code Act 1995. I declare that the kinds of medical devices specified in this application are kinds of medical devices that are currently included in the Australian Register of Therapeutic Goods. I declare that the products set out in the accompanying schedule (if any) relate to the kinds of medical devices currently included in the ARTG as specified in this application. I declare that these products are available for lawful supply, for use in humans or as an IVD, in Australia. I further declare that all information contained in this application form, and in any schedule accompanying this form, is true and correct as at the date of signing. Signature of authorised person Name (please print) Date Your position/title/office in relation to the sponsor Please note: It is the sponsor’s responsibility to ensure this application is accompanied by all relevant documentation. This includes the appropriate application fee(s). forms can be found on the TGA website. The current application fees for certificates of free sale and export certificates can be found on the TGA’s website under “Exports”. Please forward your application, any accompanying schedule(s) and your completed credit card authorisation to .
Section 6 Sponsor declaration Important note Providing information that is false or misleading to a Commonwealth entity or in connection with a Commonwealth law is a serious offence subject to criminal penalties under the Criminal Code Act 1995. I declare that the kinds of medical devices specified in this application are kinds of medical devices that are currently included in the Australian Register of Therapeutic Goods. I declare that the products set out in the accompanying schedule (if any) relate to the kinds of medical devices currently included in the ARTG as specified in this application. I declare that these products are available for lawful supply, for use in humans or as an IVD, in Australia. I further declare that all information contained in this application form, and in any schedule accompanying this form, is true and correct as at the date of signing. Signature of authorised person Name (please print) Date Your position/title/office in relation to the sponsor Please note: It is the sponsor’s responsibility to ensure this application is accompanied by all relevant documentation. This includes the appropriate application fee(s). forms can be found on the TGA website. The current application fees for certificates of free sale and export certificates can be found on the TGA’s website under “Exports”. Please forward your application, any accompanying schedule(s) and your completed credit card authorisation to .