Application for the Classification of a
Borderline Product

Please refer to ‘Guide on how to complete the application form requesting classification of a borderline product’ when filling in this information – Filling in the information incorrectly will lengthen the classification process unnecessarily.

1a. Product Name:

1b. Dosage form and route of administration:

1c. Product ingredient/s and amount/s per unit dose:

Active ingredient/s:

Amount per unit dose:


Amount per unit dose:

1d. Container and pack size:

1e. Product indications, uses and/or claims (if any):

BD001/05 Appendix 1 Version 01

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