For eCTD applications, please add links to references: The information provided herewith is certified to be accurate and complete. (Official stamp of the applicant / authorisation holder (marketing company)) Compulsory Optional (other signature) Place, date Place, date Signature Signature ……………………………………….…. ……………………………………….…. Person responsible Other person Surname Surname First name First name Job title Job title Telephone E-mail The application must be sent to For inquiries, contact Telephone +41 58 462 02 11 Swissmedic, Swiss Agency for Therapeutic Products Fax +41 58 462 02 12 P.O. Box, Hallerstrasse 7, 3000 Berne 9
For eCTD applications, please add links to references: The information provided herewith is certified to be accurate and complete. (Official stamp of the applicant / authorisation holder (marketing company)) Compulsory Optional (other signature) Place, date Signature ……………………………………….…. Person responsible Surname First name Job title Telephone E-mail Place, date Signature ……………………………………….…. Other person Surname First name Job title The application must be sent to Swissmedic, Swiss Agency for Therapeutic Products P.O. Box, Hallerstrasse 7, 3000 Berne 9 For inquiries, contact Telephone +41 58 462 02 11 Fax +41 58 462 02 12
zl000_00_011e_fopharmaceuticalinformationproductinformationparen.docx