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Company copy

Republic of the Philippines


Department of Health
FOOD AND DRUG ADMINISTRATION
Center for Drug Regulation and Research
TECHNICAL INQUIRY FORM

NAME: Click here to enter text. DATE: Click here to enter text.
COMPANY NAME: Click here to enter text. REF. NO.: IQ-Click here to enter text.

TECHNICAL INQUIRY FDA’S RESPONSE


Click here to enter text. Click here to enter text.

Contact details (landline /e-mail): Prepared by:

Click here to enter text. Click here to enter text.


Noted by:

Click here to enter text.

NOTE:
1. Company representative is advised to fill out this form (Company copy and CDRR copy) and submit to
assigned CDRR staff at the FDAC.
2. Use one (1) set for each technical inquiry/question.
3. Response will be issued by the assigned CDRR staff 1-2 weeks after the date of submission of the inquiry.
4. Submission and release shall be done on Tuesdays and Wednesdays only .

CDRR copy
Republic of the Philippines
Department of Health
FOOD AND DRUG ADMINISTRATION
Center for Drug Regulation and Research
TECHNICAL INQUIRY FORM

NAME: Click here to enter text. DATE: Click here to enter text.
COMPANY NAME: Click here to enter text. REF. NO.: IQ-Click here to enter text.

TECHNICAL INQUIRY FDA’S RESPONSE


Click here to enter text. Click here to enter text.

Contact details (landline /e-mail): Prepared by:

Click here to enter text. Click here to enter text.


Noted by:

Click here to enter text.

NOTE:
1. Company representative is advised to fill out this form (Company copy and CDRR copy) and submit to
assigned CDRR staff at the FDAC.
2. Use one (1) set for each technical inquiry/question.
3. Response will be issued by the assigned CDRR staff 1-2 weeks after the date of submission of the inquiry.
Republic of the Philippines
Department of Health
FOOD AND DRUG ADMINISTRATION
Center for Drug Regulation and Research
TECHNICAL
4. Submission and release shall be done on TuesdaysINQUIRY FORM
and Wednesdays only .

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