Application for Registration of Designated Product Importers · 2019-01-10 · Application for...

Application for Registration of Designated Product Importers

Tel: 3014305 / 3014303Fax: 3014307Email: foodsafetydivision@health.gov.mvWebsite: www.mfda.gov.mv

Maldives Food and Drug AuthorityMinistry of Health Male', Maldives

INITIAL REGISTRATION UPDATE OF REGISTRATION

SECTION 1 - TYPE OF REGISTRATION

b. (i) REASON(S) FOR UPDATE

Change of the owner of the Company

Update of the List of Products Imported

Other Changes

Change of Address

Change of the Company Name

Specify:

a.

Company Name:Applicant's Name:

Address: Company Address:

ID Number:Contact No.:Import License No.:

Email:Fax No.:Website:

* For companies, Applicant shall be the owner or MD of the company.

Company Stamp

b.

SECTION 2 - APPLICANT INFORMATION

Product(s) Manufacturer Country of Origin#SECTION 3 - LIST OF PRODUCT(S) INTENDED FOR IMPORT

* Please attach additional list of proucts , if required.

SECTION 4 - DECLARATION

I, , ID number: , hereby declare that the informationprovided above are true and correct to the best of my knowledge and I undertake to inform any changes therein,immediately. In case any of the above information is false or untrue, I am aware that I shall be held liable for it.

Date: Signature / Fingerprint

* Declaration shall be signed by the owner or MD of the company.

SECTION 5 - DOCUMENTS TO BE SUBMITTED1. Copy of Import License2. Copy of Sole Proprietor Registration (applicable for individual importers)3. Copy of Company Registration issued by Ministry of Economic Development (applicable for companies)4. Copy of Applicant's ID card5. Copy of Importer Registration Certificate issued by MFDA (applicable for update of registration)

FOR OFFICIAL USE ONLYReceived byName:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Designation:_ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Signature:

Importer Registration No.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Date: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Maldives Food and Drug Authority, Roashanee Building, Sosun Magu / Male' .