(Current version) Original/scanned signature on Application form Applicant in the EEA 5.1 Proof of payment 1.4.1 5.23 In case of legal basis art. 8(3) and claim of new active substance annex provided 1.4.7 5.2 In case of legal basis informed consent: Annex 5.2 present? 1.5 1.4.2 Module 1.5 provided in to case of art. 10(1), 10(3), 1.4.5 10(4) and 10a?
(Current version) Original/scanned signature on Application form Applicant in the EEA 5.1 Proof of payment 1.4.1 5.23 In case of legal basis art. 8(3) and claim of new active substance annex provided 1.4.7 5.2 In case of legal basis informed consent: Annex 5.2 present? 1.5 1.4.2 to 1.4.5 Module 1.5 provided in case of art. 10(1), 10(3), 10(4) and 10a?
CMDh_368_2017_Rev01_12_2017.docx