Russian Government Decree No. 683 of September 3, 2010 Approval of Rules for Accreditation of Medical Institutions for the Right to Conduct Clinical Trial of Medicinal Product for Medical use - Appendix to Rules of Accreditationи of Medical Institutions for the Right to Conduct Clinical Trials of Medicinal product for medical use
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Главная Documents Clinical trials Russian Government Decree No. 683 of September 3, 2010 Approval of Rules for Accreditation of Medical Institutions for the Right to Conduct Clinical Trial of Medicinal Product for Medical use - Appendix to Rules of Accreditationи of Medical Institutions for the Right to Conduct Clinical Trials of Medicinal product for medical use
Russian Government Decree No. 683 of September 3, 2010 Approval of Rules for Accreditation of Medical Institutions for the Right to Conduct Clinical Trial of Medicinal Product for Medical use - Appendix to Rules of Accreditationи of Medical Institutions for the Right to Conduct Clinical Trials of Medicinal product for medical use
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Russian Government Decree No. 683 of September 3, 2010 Approval of Rules for Accreditation of Medical Institutions for the Right to Conduct Clinical Trial of Medicinal Product for Medical use
Rules for Accreditation of Medical Institutions for the Right to Conduct Clinical Trial of Medicinal Product for Medical use
Appendix to Rules of Accreditationи of Medical Institutions for the Right to Conduct Clinical Trials of Medicinal product for medical use
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Appendix to Rules of Accreditationи of Medical Institutions for the Right to Conduct Clinical Trials of Medicinal product for medical use

(form)

Accreditation Certificate for the right to conduct clinical trials of medicinal product for medical use

‘____’ ________20___,                                                       No. ________

(date)

1. This Certificate is issued to _________________________________________________________________

(full and  abbreviated name, corporate and ownership form of the medical institution)

2. Main Federal Registration Number of medical institution’s statutory registration:

__________________________________________________________________

(OGRN and details of the document on the medical institution’s existing recordin United Federal Register of Corporate Entities)

3. Location _________________________________________________________

and place of operation  ________________________________________________

(mailing addresses of official location and place of operation, telephone/fax numbers, email addresses of the medical institution)

4. Taxpayer’s ID __________________________________________________________________

(INN and details of the tax registration document)

5. Clinical trials of medicinal product for medical use, including international multi-center, domestic multi-center, post-registration, for government registration, and for other purposes, in accordance with rules clinical practice, with objectives:

__________________________________________________________________

(specify purpose of clinical research ofmedicinal product for medical use covered by this Certificate)

6. This Certificate is issued with effect until ‘___’_________20___, by decision of the Ministry of Healthcare and Social Development of the Russian Federation, Executive Order No. ___ of ‘___’ ___________20___.

____________________

____________________

____________________

(position of authorized person)

(signature of authorized person)

(full name of authorized person)


Seal here

The effect of this Certificate is extended until ‘_____’_____________20___, by decision of the Ministry of Healthcare and Social Development of the Russian Federation, Executive Order No. ___ of ‘___’ ___________20___.


____________________

____________________

____________________

(position of authorized person)

(signature of authorized person)

(full name of authorized person)


Seal here


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