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Get Rule 150 E F Form

FORM 39 See Rule 150-E f Report of test or analysis by approved institution 1 Name of the manufacturer from whom sample received together with his manufacturing licence number under the Act and under the Rules made thereunder. 2 Reference number and date of the letter from the manufacturer under which the sample was forwarded* 3 Date of receipt of the sample. 4 Name of drug / cosmetics / raw material / final product in bulk / final product in finished pack as obtained from the manufacturer. a Original manufacturer s name in the case of raw materials and drugs repacked. b Batch number. c Batch size as represented by sample. d Date of manufacture if any. e Date of expiry if any. 6 Results of test or analysis with protocols of test or analysis applied* In the opinion of the undersigned the sample referred to above is of standard quality/is not of standard quality as defined in the Act and the Rules made thereunder for the reasons given below. Date. Signature of Person-in-charge of testing Note - Final product includes repacked material* Delete whichever is not applicable Footnote 1. 2 Reference number and date of the letter from the manufacturer under which the sample was forwarded* 3 Date of receipt of the sample. 4 Name of drug / cosmetics / raw material / final product in bulk / final product in finished pack as obtained from the manufacturer. 4 Name of drug / cosmetics / raw material / final product in bulk / final product in finished pack as obtained from the manufacturer. a Original manufacturer s name in the case of raw materials and drugs repacked. b Batch number. c Batch size as represented by sample. a Original manufacturer s name in the case of raw materials and drugs repacked. b Batch number. c Batch size as represented by sample. d Date of manufacture if any. e Date of expiry if any. 6 Results of test or analysis with protocols of test or analysis applied* In the opinion of the undersigned the sample referred to above is of standard quality/is not of standard quality as defined in the Act and the Rules made thereunder for the reasons given below. d Date of manufacture if any. e Date of expiry if any. 6 Results of test or analysis with protocols of test or analysis applied* In the opinion of the undersigned the sample referred to above is of standard quality/is not of standard quality as defined in the Act and the Rules made thereunder for the reasons given below. Date. Signature of Person-in-charge of testing Note - Final product includes repacked material* Delete whichever is not applicable Footnote 1. 2 Reference number and date of the letter from the manufacturer under which the sample was forwarded* 3 Date of receipt of the sample. 4 Name of drug / cosmetics / raw material / final product in bulk / final product in finished pack as obtained from the manufacturer. a Original manufacturer s name in the case of raw materials and drugs repacked. b Batch number. c Batch size as represented by sample. 4 Name of drug / cosmetics / raw material / final product in bulk / final product in finished pack as obtained from the manufacturer. a Original manufacturer s name in the case of raw materials and drugs repacked. b Batch number. c Batch size as represented by sample. d Date of manufacture if any. e Date of expiry if any. 6 Results of test or analysis with protocols of test or analysis applied* In the opinion of the undersigned the sample referred to above is of standard quality/is not of standard quality as defined in the Act and the Rules made thereunder for the reasons given below.

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