APPENDIX- 4L

FORMAT OF CHARTERED ENGINEER (CHEMICAL) CERTIFICATE (Please see paragraph 4.18 of HBP)

(For Pharmaceutical Product manufactured through Non-Infringing process)

furnished as per the requirement of paragraph 4.18 of Handbook of Procedures.

regulatory authority of the country of import _________(name of country) pertains to the Drug Master File

(DMF) reference No.________, meant for the export product for which the advance authorisation application

is being filed.

________________(Name and address of the manufacturer exporter) with regard to their technical description / specification and the quantity against each input from the Abbreviated New Drug Application (ANDA) / Drug Master File (DMF) of the applicant, as given at Sl. No. 2 above and as approved by the Food & Drug Administration / Concerned regulatory authority of the country of import. I have also verified that the details of the export product and the inputs sought thereof in their applicationin ‘AayaatNiryaat Form (ANF 4 E)’are as per ANDA / DMF. I have also examined the proper norms of consumption and after technical scrutiny of relevant designs and drawings of the export product, I hereby certify that they are correct in all respects and are actually required for the execution of the export product, for which the application is made.

Sl.

No.

Product

Description

Technical Characteristics /

Quality / Specification

ITC (HS) Code

Quantity

(Along with the Unit of Measurement)

(b) Details of inputs required as per ANDA / DMF of the applicant and that as per SION or Adhoc Norms*:

Sl.

No

Input Description

Technical Characteristics /

Quality / Specification of the

Inputs

ITC (HS) Code

Quantity (Along with the Unit of Measurement)

Quantity allowed as per SION or Adhoc Norms*

* State “NIL” in case the SION or the adhoc norm for the said export product is not available.

Date:

Signature of Chartered Engineer (Chemical)

Place:

Name:

Seal of Chartered Engineer:

E-mail:

Tel. No. (O):

Official Address:

Residential Address:

Registration Number:

Name & Address of the Institution with which registered:

Note :