Tissue Bank EST. Registration Form

top of page

Humans Cell and Tissue Establishment Registration

Establishment Address Information

Legal Name (제조업체 이름)

Country/Region

Address

City

Zip / Postal code

Phone (전화번호)

Parent Manufacturing Establishment FEI No. if have

Testing For Micro-Organisms Only

Establishment Reporting Official Information

Reporting Official Information

First name

Last name

Title

Email

Phone

Mailing Address

Institution Name

Country/Region

Address

City

Zip / Postal code

Establishment Importer Information

If your establishment is located outside the United States, please provide information on any importer (defined in 21 CFR 1271.3(mm)) that is known to you. (미국 외에 위치한 업체는 수입자 등록은 필수입니다. 수입자는 제품의 소유권을 가진 경우, 제품을 수탁받고 처리하거나 유통하는 경우, 제품을 받아 사용하는 경우의 회사나 사람)

Importer Organization

Importer Frist Name

Importer Last Name

Country/Region

Address

City

Zip / Postal code

Phone

Email

수입자가 한개 이상일 경우, 모든 수입자의 정보를 별도의 이메일로 보내주시기 바랍니다. (ask@provisionfda.com)

bottom of page