e-form

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:





Excipients:





Amount per unit dose:





1d. Container and pack size:





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





BD001/04 Appendix 1 Version 01

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