Documente Academic
Documente Profesional
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5. If initial application, enclose a complete BAI-LSD Form 1 for one (1) product
10. Brand Name of biologic and forecasted quantity to be Manufactured/Imported (State Country of Origin)for manufacturer, importer LTO applicant or name of
supplier/source of products for distributor, retailer applicant
A. With this
Items Submitted Application B. Date of C. Date of Final Remarks
(mark with Submission Submission
check)
11. Articles of
Incorporation
12. Certification of
Registration with
SEC
16. BAI-AFVDBCD
Form ______
CERTIFICATION
In accordance with the prevailing requirements and regulations is hereby made for a permit to maintain an establishment for
the importation/preparation of animal biological products for the use in the diagnosis, prevention and treatment of diseases of domestic
animals. If a permit/license is issued by the Bureau under this application, the permittee/licensee expressly agrees to comply with the
provisions of the said requirements and regulations and all the rules and orders of the Bureau issued pursuant thereto relating to the
operations of such establishment and the importation/preparation, testing and distribution of animal biological products
imported/prepared therein and that the animal biological products will not be labeled or advertised so as to mislead or deceived the
purchaser in any particular.
NOTE: Registration Certificate shall be displayed conspicuously in the place of business of the
company concerned and readily visible to the public.