ERPA Cosmetics

Safety Assessor Association Supporting Membership Form

  1. Please fill out the form below:


I. Company General Information (*)
  1. Company
  2. (required)
  7. (valid email required)
  9. President, Managing Director or Equivalent
  13. (valid email required)
  14. If different: Safety Assessor Contact Detail
  19. Company Structure/Organization Type


II. Membership Type
  2. Does your company have activities of Safety Assessment for at least 3 years?
  5. Do you have at least one staff member with a diploma or other evidence of formal
    qualifications in pharmacy, toxicology, medicine or a similar discipline,
    or a course recognized as equivalent by a Member State?
  7. Have you notified your relevant Competent Authority about your Safety Assessment activities?


III. Other Activities
  1. What other services do you provide? Please indicate all that apply:
  2. Distribution / Marketing
  4. Regulatory Consulting
  6. Advisory Services on GMP EN/ISO 22716
  8. Clinical Studies Services
  10. Responsible Person


IV. Other information
 

cforms contact form by delicious:days