e-form

Authorisation in line with regulation 4(2) of the Medicines (Marketing Authorisation) Regulations in accordance with article 126(a) of Directive 2001/83/EC
APPLICATION FORM

PLEASE USE THE GUIDELINES FOR FURTHER INFORMATION

A separate application form needs to be completed for each product (from each source country), for each strength, and for each pharmaceutical form.
Forms should be submitted through the Common European Submission Portal (CESP).







Sir Temi Żammit Buildings, Malta Life Sciences Park, San Ġwann SĠN 3000, Malta
info.medicinesauthority@gov.mt | (+356) 23 439 000
www.medicinesauthority.gov.mt

Sir Temi Żammit Buildings, Malta Life Sciences Park, San Ġwann SĠN 3000, Malta
info.medicinesauthority@gov.mt | (+356) 23 439 000
www.medicinesauthority.gov.mt

LI010/07 Appendix 1 Version 2

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