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Questionnaire for preparing a commercial proposal for variations to a medicinal product
Your company name
Trade name of the medicinal product
*
Dosage form
*
Dosage
*
Reference member state
*
Armenia
Belarus
Kazakhstan
Kyrgyzstan
Russia
In which concerned member state is the medicinal product registered?
*
Armenia
Belarus
Kazakhstan
Kyrgyzstan
Russia
Which variations need to be submitted?
*
In which states is the submission of variations planned?
*
Armenia
Belarus
Kazakhstan
Kyrgyzstan
Russia
Другое
Has an application for these variations been submitted previously?
*
Yes
No
Is there currently an active registration procedure for variations in any EAEU member state?
*
Yes
No
Do you need assistance in preparing the electronic dossier in XML format?
*
Yes
No
Do you need assistance in submitting the electronic dossier to the regulatory authority of the reference member state?
*
Yes
No
Do you need assistance in submitting the electronic dossier to the regulatory authority of the concerned member state?
*
Yes
No
Not applicable
Desired deadline for document preparation
Additional conditions and requests
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How can we contact you?
Your name
*
Email
*
Phone number
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