Is the product partially or fully of animal Yes No origin (i.e. tissue, tissue extract or fluid such as milk, 1.2 serum, blood etc.)? 1.2.1 If Yes, provide type of tissue or animal component: Primary Secondary 1.2.2 Is the material primary or secondary origin? Tertiary Non applicable Does the manufacturing process involve any raw 1.3 materials, source materials, or reagents that are of Yes No animal origin? 1.3.1 If Yes, provide type of tissue or animal component: Is the product derived from microbiological or cell 1.4 Yes No culture fermentations? 1.4.1 If Yes, please indicate type. If yes, are any components used in the culture media 1.4.2 Yes No derived from animal origin? 1.4.2.1 If Yes, indicate name: Is the product purified using chromatography media 1.5 (e.g. specific ligand columns) or buffers that contain Yes No components of animal origin? Or any other processing/Formulation containing 1.5.1 Yes No components of animal origin? Is the product, for any other reason, at any time, in 1.6 Yes No contact with materials of animal origin? 1.6.1 Please provide details
1.2 Is the product partially or fully of animal origin (i.e. tissue, tissue extract or fluid such as milk, serum, blood etc.)? Yes No 1.2.1 If Yes, provide type of tissue or animal component: 1.2.2 Is the material primary or secondary origin? Primary Secondary Tertiary Non applicable 1.3 Does the manufacturing process involve any raw materials, source materials, or reagents that are of animal origin? Yes No 1.3.1 If Yes, provide type of tissue or animal component: 1.4 Is the product derived from microbiological or cell culture fermentations? Yes No 1.4.1 If Yes, please indicate type. 1.4.2 If yes, are any components used in the culture media derived from animal origin? Yes No 1.4.2.1 If Yes, indicate name: 1.5 Is the product purified using chromatography media (e.g. specific ligand columns) or buffers that contain components of animal origin? Yes No 1.5.1 Or any other processing/Formulation containing components of animal origin? Yes No 1.6 Is the product, for any other reason, at any time, in contact with materials of animal origin? Yes No 1.6.1 Please provide details
160218-standard-supplier-raw-material-technical-questionnaire-1.docx