ERPA Cosmetics

Safety Assessor Association Supporting Membership Form

  1. Please fill out the form below:

I. Company General Information (*)
  1. Company
  2. (required)
  3. (valid email required)
  4. President, Managing Director or Equivalent
  5. (valid email required)
  6. If different: Safety Assessor Contact Detail
  7. Company Structure/Organization Type

II. Membership Type
  1. Does your company have activities of Safety Assessment for at least 3 years?
  2. 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?
  3. 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
  3. Regulatory Consulting
  4. Advisory Services on GMP EN/ISO 22716
  5. Clinical Studies Services
  6. Responsible Person

IV. Other information

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