PHARMACEUTICAL PRODUCT REGULATORY OFFICE
Manufacturing site Registration/Renewal Form
Name of local Agent in Bahrain
Name of the medicine (s) available in Bahrain form this site (if applicable)
Name of the applicant company for the Manufacturing site
Origin
Name and address for the manufacturing site
Origin
Production lines requested for registration (Must be related to the products)
Sterile manufacturing
Non-Sterile manufacturing
Biological medicinal products manufacturing
Biotechnological medicinal products manufacturing
Blood Product manufacturing
Immunological product manufacturing
Gene therapy product manufacturing
Packaging only
Final release only
Other manufacturing activity, Determine:
I/we apply for a manufacturing site registration for which details are provided above.
It is hereby confirmed that all information relevant to this application have been supplied in the file as
appropriate and they are all correct (must be filled by the pharmaceutical company)
Name
Signature
Job Title
Date
PPR0014
OCT 2014
Ver.2
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