Mẫu số 07B - Nghị định 163/2026/NĐ-CP của Chính phủ
Mẫu số 07B
LICENSING AGENCY
IMPORT LICENCE
REFERANCE STANDARD FOR RESEARCH
Certificate of official approval No. .../(1)-(2)-QLD
(Single Convention on...)
The Ministry of Health of Viet Nam hereby certifies that:
...
being the Enterprise charged with the administration of the law relating to the drugs to which the ... Convention applies, has been authorized the following importation:
a/Importer:
- Name: ...
- Address:...
b/Exact description and amount of the reference standard to be imported including the international Non- Proprietary Name, if any:
Name of reference standard, dosage form: quantity (in number and in word)
c/Manufacturer:
- Name:
...
- Address:
...
d/Exporter:
- Name:
...
- Address:
...
Subject to the following conditions:
* The consignment will be imported through the port of:...
* The consignment may not be delivered by post.
* This authorization is not transferable.
* Validity period:...
* Valid for one shipment only, partial shipments prohibited.
* The Licence holder is subjected to observe to the current regulations related to management, import, export, distribution and supplies of drug, as well as the requirement of Vietnamese laws and International Conventions and Agreement to which Vietnam is signatory or participatory.
* These reference standards are only used for quality control and research within the importing establishment.
|
Attn. - ..., - INCB; - Licensing Agency (02 copies) |
Ha Noi, date HEAD OF LICENSING AGENCY |
Ghi chú:
1 Ghi năm cấp phép.
2 Ghi mã loại chất chuẩn tương ứng:
- N, P, Pr: lần lượt là chất chuẩn thuộc danh mục dược chất gây nghiện, dược chất hướng thần, tiền chất dùng làm thuốc.
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