CZ EN

MAH

You are a MAH - begin filling in the MAH 1 data. If you hold multiple permits, click on Other MAH -> add the data to other MAHs, as needed.

You are mandated by the MAH(s) to represent them - click on I am a Representative Company -> fill in the data for your organization and then fill in the data for the represented license holders (MAHs). To add more MAHs, click on Other MAH.

Company name: *
Address: *
Street and no.:City:
ZIP:State:
IN (Company identification number) *:
Mailing address:
Street and no.:City:
ZIP:State:
Authorised Representative:
Other Authorised Person
FMD contact: *
Invoicing

Notice

Invoice address:
Street and no.:City:
ZIP:State:
Invoice contact: *
VAT:

×   MAH 1

Name of Company: *
Address: *
Street and no.:City:
ZIP:State:
IN (Company identification number): *
Mailing address:
Street and no.:City:
ZIP:State:
Invoice address:
Street and no.:City:
ZIP:State:
Invoice contact: *
VAT:
Currency
MAH ID (CP Number - EMVO registration):
FMD contact: *
Alternative contact for FMD:
Contacts for alerta:

Notification
Administration by other MAHs

Other MAH

* required field

Founding members

Associate members

© Copyright 2024 Národní organizace pro ověřování pravosti léčiv, z.s
editorial system Kompletweb | Neofema, s.r.o.