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FEDERAL AGENCY FOR MEDICINES AND HEALTH PRODUCTS
EUROSTATION II, Office 8D268,
Victor Hortaplein 40 bus 40, 1060 BRUSSELS (BELGIUM)
Telephone number : 32 2 524 82 97 – Fax number : 32 2 524 83 01
GOOD MANUFACTURING PRACTICE CERTIFICATE
The Federal Agency for Medicines and Health Products herewith certifies that the firm fill in
the name & address of your firm/company ; has obtained, in accordance with the Royal
Decree of 14 december 2006 concerning medicines for human and veterinary use, the
authorisation number fill in authorisation number of your firm/company to manufacture and
to prepare medicinal gases.
The undersigned certifies that the manufacturing plant is subject to inspections at suitable
intervals and that the manufacturing conforms to the requirements for Good Practices in the
Manufacture and Quality Control of pharmaceutical products as recommended by the World
Health Organisation.
This certificate is valid only for the medicinal products for which a “certificate for a
pharmaceutical product” has been issued according to the prevailing administrative
arrangements of the World Health Organisation.
This certificate may not be reproduced and is solely destined to the Governmental Authorities of
fill in the name of the country which requires the certificate.
BRUSSELS,
Xavier DE CUYPER
Chief Executive Officer
Number of certificate: ________________________
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