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Guidance on the GMP clearance of overseas medicine manufacturers

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<strong>GMP</strong> Clearance for Overseas Manufacturers, 17 th Editi<strong>on</strong><br />

Versi<strong>on</strong> 1.0, May 2011<br />

Therapeutic Goods Administrati<strong>on</strong><br />

Appendix F - Electr<strong>on</strong>ic applicati<strong>on</strong> checklist<br />

For <strong>GMP</strong> Clearances based <strong>on</strong> a Mutual Recogniti<strong>on</strong> Agreement<br />

A copy <strong>of</strong> a current <strong>GMP</strong> Certificate for <strong>the</strong> site and <strong>the</strong> relevant dosage form or substance; or<br />

A request to <strong>the</strong> TGA for it to obtain evidence <strong>of</strong> compliance from an MRA regulator (a fee<br />

applies).<br />

For <strong>GMP</strong> Clearances to be assessed by Compliance Verificati<strong>on</strong><br />

Documents from Evidence List B <strong>of</strong> Table 1b or<br />

Documents from Evidence Lists B and C <strong>of</strong> Table 1b or<br />

Documents from Evidence List D <strong>of</strong> Table 1b<br />

Details <strong>of</strong> any regulatory acti<strong>on</strong>s in <strong>the</strong> past 3 years relating to <strong>the</strong> manufacturing site.<br />

Applicati<strong>on</strong> and Fees:<br />

An electr<strong>on</strong>ic applicati<strong>on</strong> has been lodged. Documents have been attached or copies have<br />

been forwarded to <strong>the</strong> TGA.<br />

All required applicati<strong>on</strong> and liais<strong>on</strong> fees have been remitted.<br />

Declarati<strong>on</strong>:<br />

I, being a pers<strong>on</strong> authorised to make this applicati<strong>on</strong>, hereby declare that in electr<strong>on</strong>ically<br />

submitting this applicati<strong>on</strong> to <strong>the</strong> TGA, all <strong>of</strong> <strong>the</strong> informati<strong>on</strong> given is current and correct.<br />

Note A false declarati<strong>on</strong> will result in <strong>the</strong> cancellati<strong>on</strong> <strong>of</strong> any previous current <strong>GMP</strong><br />

Clearances for this manufacturer at this site and <strong>the</strong> rejecti<strong>on</strong> <strong>of</strong> <strong>the</strong> <strong>GMP</strong> Clearance<br />

applicati<strong>on</strong>.<br />

Signatory name <strong>of</strong> <strong>the</strong> pers<strong>on</strong> submitting <strong>the</strong> applicati<strong>on</strong>:<br />

………………………………….<br />

Please scan <strong>the</strong> signed applicati<strong>on</strong> checklist and submit electr<strong>on</strong>ically with <strong>the</strong> eBS applicati<strong>on</strong>.<br />

Page 35 <strong>of</strong> 39

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