Russian Federation Government Decree No. 673 of September 3, 2010 "Approval of Rules for Import and Export of Biological Materials Obtained in Clinical Trials of a medicinal product for medical use into and from the Russian Federation - Appendix 2. Form. Supplement to permit
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Главная Documents Clinical trials Russian Federation Government Decree No. 673 of September 3, 2010 "Approval of Rules for Import and Export of Biological Materials Obtained in Clinical Trials of a medicinal product for medical use into and from the Russian Federation - Appendix 2. Form. Supplement to permit
Russian Federation Government Decree No. 673 of September 3, 2010 "Approval of Rules for Import and Export of Biological Materials Obtained in Clinical Trials of a medicinal product for medical use into and from the Russian Federation - Appendix 2. Form. Supplement to permit
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Russian Federation Government Decree No. 673 of September 3, 2010 "Approval of Rules for Import and Export of Biological Materials Obtained in Clinical Trials of a medicinal product for medical use into and from the Russian Federation
Rules for Import and Export of Biological Materials Obtained in Clinical Trials of a medicinal product for medical use into and from the Russian Federation
Appendix 1. Form. Permit
Appendix 2. Form. Supplement to permit
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Appendix 2
To Rules to import into
and export from the Russian Federation
biological materials obtained in
a clinical trial of a medicinal
product for medical use

Form

Coat of arms of the Russian Federation

MINISTRY OF HEALTHCARE AND SOCIAL DEVELOPMENT OF
THE RUSSIAN FEDERATION

SUPPLEMENT TO PERMIT No. ___________

to import (export) biological materials obtained in a clinical trial of medicine _________________ of medical use

Issued to ________________________________________________________
(name of the petitioning organization to import (export) biological materials)

based on request of ____________________________ No.         ______________
(date)

to import (export)__________________________________________________
(type of imported (exported) biological material)

________________________________________________________________,
(number of units of each type of imported (exported) biological material, ype of packing for each type of imported (exported) biological material)

obtained in a clinical trial of medicine ________________ of medical use, as authorized by the Ministry of Healthcare and

Social Development of the Russian Federation by permit of _____________ No. _____
(date)

according to clinical trials report ____________________________
(title of report)

for ____________________________________________________________.
(objective to import (export) biological materials, name of the nation state, location and full name of organization to receive imported (exported) biological materials)

This Supplement to Permit is valid until


_____________________________
(date)


___________________              _________________________          _____________________
(position of authorized person)     (signature of authorized person)               (full name)

‘_____’ _________________ 201__                                    stamp here

 

_______________
Seal here

 



 
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