Section 2 Certificate details Form of certificate (please choose one option only): Electronic copy via email Hard copy via post If requesting hard copies, please advise how many you require [five (5) maximum] Section 3 Medical device details Your certificate of free sale or export certificate will show the ARTG Number and GMDN codes for your products, the sponsor’s name and address, and the primary manufacturer’s name and address. If your product is a Class III included device, your certificate of free sale will also contain the product / trade name as it appears on your ARTG inclusion. ARTG Number GMDN Code Section 4 Schedules If the country of import requires your certificate of free sale or export certificate to include additional information about the products to which the certificate relates, then the additional information must accompany this application in a schedule on your company letterhead. The schedule heading should describe the contents. If the schedule requires more than one page, subsequent pages should have the same heading followed by 2’, etc. ‘page Please indicate if your application is accompanied by a schedule. Section 5 Fees There is an application fee associated with the processing of your application for a certificate of free sale or an export certificate. The current fee is outlined under on the webpage. “Export” Please indicate the current fee for the processing of your application, and ensure you include a completed and signed credit card authorisation form for this amount $ when you submit your application.
Section 2 Certificate details Form of certificate (please choose one option only): Electronic copy via email Hard copy via post If requesting hard copies, please advise how many you require [five (5) maximum] Section 3 Medical device details Your certificate of free sale or export certificate will show the ARTG Number and GMDN codes for your products, the sponsor’s name and address, and the primary manufacturer’s name and address. If your product is a Class III included device, your certificate of free sale will also contain the product / trade name as it appears on your ARTG inclusion. ARTG Number GMDN Code Section 4 Schedules If the country of import requires your certificate of free sale or export certificate to include additional information about the products to which the certificate relates, then the additional information must accompany this application in a schedule on your company letterhead. The schedule heading should describe the contents. If the schedule requires more than one page, subsequent pages should have the same heading followed by ‘page 2’, etc. Please indicate if your application is accompanied by a schedule. Section 5 Fees There is an application fee associated with the processing of your application for a certificate of free sale or an export certificate. The current fee is outlined under “Export” on the webpage. Please indicate the current fee for the processing of your application, and ensure you include a completed and signed credit card authorisation form for this amount when you submit your application. $
application-for-certificate-of-free-sale-export-certificate-for-a-medical-device.docx