Professional Documents
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Material Information_Packaging
Material Information_Packaging
Material Information_Packaging
! Please complete this questionnaire on your suitable device by typing on the allowable area and clicking on
the empty boxes for Choice questions. Upon completion, save the document and send it back to Renata
Limited. Send the required annexures by scanning them as separate pdf file(s).
: Yes
If No, please provide Manufacturer Name and Site
Are you the manufacturer of the above material(s)? Address:
Click or tap here to enter text.
: Yes
Is this material manufactured in dedicated plant? If No, please provide a list of other materials:
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: Yes
If No, please mention here:
Will you supply the material directly to Renata
Material will be stored (at supplier’s site) before
Limited from your site?
delivery
Any explanation: Click or tap here to enter text.
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RENATA LIMITED
Kashor General Facility
Kashor, Hobirbari, PO: Seed Store, Bhaluka, Mymensingh-2240, Bangladesh
Packaging Mode for delivery of the Poly Bag ✘ Shipper Carton Poly Bag ✘ Shipper Carton
Pharmacopoeia: USP BP EP
Specification In-house Specification (Please provide a
copy as annexure)
Pharmacopoeia: USP BP EP
Test Methods / Method of Analysis In-house Method (Please provide a copy as
annexure)
Choose an item.
Do you perform testing of every batch of your incoming Raw
If Yes, please provide a copy of COA as
Materials?
annexure.
Choose an item.
Do you perform testing of every batch of Finished Product you
If Yes, please provide a copy of COA as
provide to Renata Limited?
annexure.
Choose an item.
If Yes, please enclose specification limits and
Do you perform Microbiological Test(s) of this material?
method used for microbiological testing as
annexure.
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Is there a registered DMF / CEP available for this material? If Yes, please provide DMF / CEP Ref. No.:
Click or tap here to enter text.
If there is no DMF / CEP, do you have technical dossier, for the Choose an item.
material? If Yes, please provide a copy as annexure.
Choose an item.
Any special instruction regarding sensitivity of the material? (e.g. If Yes, please mention here:
Moisture sensitive, light sensitive) Click or tap here to enter text.
4.0 LIST OF REQUESTED INFORMATION TO BE SENT WITH THE COMPLETED MATERIAL INFORMATION
GMP Certificate (with valid expiry date) Click or tap here to enter text.
Material Safety Data Sheet (MSDS) Click or tap here to enter text.
List of Products Manufactured at the site Click or tap here to enter text.
Material Stability Data (with both long term and accelerated data) Click or tap here to enter text.
Stringent Regulatory Authority (SRA) Certificates Click or tap here to enter text.
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RENATA LIMITED
Kashor General Facility
Kashor, Hobirbari, PO: Seed Store, Bhaluka, Mymensingh-2240, Bangladesh
4.0 LIST OF REQUESTED INFORMATION TO BE SENT WITH THE COMPLETED MATERIAL INFORMATION
AQL documents including the criteria set for critical, major and minor defects Annexure 8
5.0 VERIFICATION
Thank you for providing the information requested in this document.
RENATA LIMITED must be notified of any changes that invalidate the responses on this document.
Telephone : 01716759263
Email : abdul.halim@transcombd.com
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