SCHOTT
Первичная фармацевтическая упаковка (русский)
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Submission Details
Country Of Submission*
- Please select -
USA (FDA)
Canada (Health Canada)
China (NMPA)
Are you working for a third party customer?
We offer our customers the alternative to submit individual request upon third parties Letter of Authorization (LoA) application in China. Please kindly direct your request to Dr. Karen Liu (
Karen.liu@schott.com
)
Company requesting to issue a LOA
Company Name*
Company Name China
(In China, only relevant to China submission. If there is no
corresponding Chinese translation of your Company Name
or there is no Company Name in Chinese, please use your
English Company Name)
*
Address 1
(Please provide Postal address in English)*
Address 2
Город*
State/Province*
Zip/Postal Code*
Страна*
Выберите страну
中国
ישראל
日本国
대한민국
الإمارات العربيّة المتّحدة
Albania
Algeria
Argentina
Australia
Bangladesh
Belarus
Belgique
BeNeLux
Bosnia And Herzegovina
Brasil
Canada
Colombia
Cyprus
Česká republika
Denmark
Deutschland
Ecuador
Egypt
España
Estonia
Finland
France
Greece
Hong Kong
Hrvatska
I.R. Iran
India
Indonesia
Ireland
Italia
Latvia
Libyan Arab Jamahiriya
Lithuania
Luxembourg
Macedonia
Magyarország
Malaysia
Montenegro
Morocco
Myanmar
México
Netherlands
New Zealand
Norway
Österreich
Pakistan
Peru
Philippines
Polska
Portugal
România
Россия
Saudi Arabia
Schweiz
Serbia
Singapore
Slovenija
Slovensko
South Africa
Sweden
Syria
Taiwan
Türkiye
Tunisia
United Kingdom
United States
Venezuela
Việt Nam
Yemen
България
Україна
First Name*
Last Name*
Title
Телефон*
E-mail*
E-Mail Confirmation
Company for whom the LOA is being issued
Is the company for whom the LOA is being issued the same as the requesting company?
If not, please add additional company by clicking the button below.
Add Additional Company
Issue LOA for the following company:
Company Name*
Company Name
(in Chinese, only relevant for China Submission)
Address 1*
Address 2
Город*
State/Province*
Zip/Postal Code*
Страна*
Выберите страну
中国
ישראל
日本国
대한민국
الإمارات العربيّة المتّحدة
Albania
Algeria
Argentina
Australia
Bangladesh
Belarus
Belgique
BeNeLux
Bosnia And Herzegovina
Brasil
Canada
Colombia
Cyprus
Česká republika
Denmark
Deutschland
Ecuador
Egypt
España
Estonia
Finland
France
Greece
Hong Kong
Hrvatska
I.R. Iran
India
Indonesia
Ireland
Italia
Latvia
Libyan Arab Jamahiriya
Lithuania
Luxembourg
Macedonia
Magyarország
Malaysia
Montenegro
Morocco
Myanmar
México
Netherlands
New Zealand
Norway
Österreich
Pakistan
Peru
Philippines
Polska
Portugal
România
Россия
Saudi Arabia
Schweiz
Serbia
Singapore
Slovenija
Slovensko
South Africa
Sweden
Syria
Taiwan
Türkiye
Tunisia
United Kingdom
United States
Venezuela
Việt Nam
Yemen
България
Україна
First Name*
Last Name*
Title
Телефон*
E-mail*
SCHOTT Product Details
SCHOTT Product Manufacturing Facility*
- Please select -
SCHOTT AG, Germany
SCHOTT Brasil Ltda., Brazil
SCHOTT Envases Argentina S.A., Argentina
SCHOTT Envases Farmacéuticos S.A., Colombia
SCHOTT de México, S.A. de C.V., Mexico
SCHOTT France Pharma Systems SAS, France
SCHOTT Glass Technologies (Suzhou) Co., Ltd., China
SCHOTT Pharmaceutical Packaging (Zhejiang) Co., Ltd., China
SCHOTT Hungary Kft., Hungary
PT. SCHOTT Igar Glass, Indonesia
SCHOTT North America, Inc., USA
LLC. SCHOTT PHARMACEUTICAL PACKAGING, Russia
SCHOTT Schweiz AG, Switzerland
SCHOTT Pharmaceutical Packaging (Zhejiang) Co., Ltd, China
SCHOTT Product Group*
- Please select -
Ampoule
Ampoule Brown
Cartridge
Syringe (Glass)
Syringe (Polymer)
Vial (Glass)
Vial (adaptiQ®)
Vial (Boro 8330TM)
Vial (Glass, Brown)
Vial (Polydimethylsiloxane Film)
Vial (illax Glass, Polydimethylsiloxane Film)
Vial (illax Glass)
Coated Vial (Type I plus®)
Coated Vial (TopLyO®)
Syringe (Glass Barrel)
SCHOTT Product Description (e.g. pen cartridge 20ml)*
SCHOTT Article No. (7-digit starting with 1... )
specification/model*
(Please kindly enter the format or
size of the container(s) used, e.g. 2 mL)
Information of Drug to be applied at the NMPA in China (China Submission),
(Should be identical to the name given in the submission dossier to NMPA)
Name of the drug (in English)*
Name of the drug (in Chinese)*
(If there is no corresponding Chinese translation or Chinese Name
of the Drug, please enter Name of the Drug in English into this
field)
Route of administration (in English)*
Route of administration (in Chinese)*
Comments
Comments
Please enter the numer of originals of the
requested China LoA
; if no hard copy is needed,
please enter ’No original/hard copy is required’
in this field.*
* = Обязательно для ввода