1. MANUFACTURER INFORMATION
Legal Manufacturer Name * :
Street * :
City / Pincode * :
Country * :
Website Address :
2. ADMINISTRATIVE INFORMATION
Type of Service looking from I3CGLOBAL* :
Select
GMP Implementation
GMP Certification
GMP Implementation and Certification
GMP GAP Assessment
Type of Industry * :
Select
Food Manufacturing
Neutraceutical/Food Supplement Manufacturing
OTC Drug Manufacturing
Prescription Drug Manufacturing
Active Pharmaceuticals Ingredient (API)Manufacturing
Medical Device Manufacturing
Cosmetics Manufacturing
Scope of Manufacturer * :
Select
Design /Formulation, Manufacture and Sale
Third Party Manufacturing
Transportation & Distribution
GMP Standard * :
Select
21 CFR 820
21 CFR 110
21 CFR 111
ISO 22716:2007
21 CFR 210
21 CFR 211
Q7
Number of employees :
Select
1<10
11<20
21<50
>51
Shop Floor Area :
Select
<500 Sq.Ft.
<1000 Sq.Ft.
>2000 Sq.Ft.
Departments Functioning :
Select
Production, Stores, QC, HR, Purchase
Production, Stores, QC, HR, Purchase, Sales
Design / Formulation, Production, Stores, QC, HR, Purchase, Sales
Design / Formulation, Production, Stores, QC, HR, Purchase, Sales, Warehousing, Transportation, Distribution
3. PRODUCT INFORMATION
Product Packaging* :
Select
Normal Packing
Sterile Packing
Not Applicable
Number of Products Manufactured in the Facility:
Select
<05
<10
<20
Any Special Manufacturing Environment :
Select
Cleanroom
Controlled Environment
Anti Static Room
No Special Controls
Type of water used in the manufacturing :
Select
Not Applicable
Raw Water
Purified Water
Distilled Water
4. SUBMITTER INFORMATION
Contact Person * :
Mr
Mrs
Dr
Prof
Ms
Job Title * :
Contact Number * :
Contact Email * :
