FDA-2015CEBGABRIXGISACW42080
Republie of the Philippines
Department of Health ar
FOOD AND DRUG ADMINISTRATION fos oot bron samonmn
D-1575
Name of Establishment: PHYTO NATURALE TRADING CORPORATION
Office Address
Warehouse Address
+ Unit 403 Viear’s 1 Bldg., #31 Visayas Avenue corner Road 1,
‘Vasra, Quezon City
Unit 403 Vicar's 1 Bldg., #31 Visayas Avenue corner Road 1,
Vasra, Quezon City
DISTRIBUTOR/IMPORTER OF FINISHED COSMETIC
Activity
PRODUCTS.
LIST OF SOURCES:
[Date SOURCE, MANUFACTURER) | COUNTRY | COSMETIC
| ADDRESS. ADDRESS. OF ORIGIN | PRODUCTS
["o8Tancary 2013 | PHYTOSTEMCELL | THE ORIGINFOODS | MALAYSIA | Essence
| SDNBHD-KUALA | SDN BHD - SELANGOR,
l LUMPUR, MALAYSIA, MALAYSIA.
An
MARIA THfERK64'M. GUTIERREZ, RPh, MSe
Officer-in-Charge, Center for Cosmetics Regulation and Research
Issuance dtd: 08 January 2015
LTONo.: CCRR-NCR-CD-1575
Civic Drive, Filinvest City, Alabang 1781 Muntinlupa, Philippines
32.857 1900 Fax +463 28070751
Website: wa. fda gow. ‘Email: info@®féagov.ph
“Trunk ine
We
FDA-0007856FOOD AND DRUG ADMINISTRATION sear Ae
Republie of the Philippines g
Department of Health MW
No.
(nitial)
LICENSE TO OPERATE
as COSMETIC DISTRIBUTOR
Pursuant to Book I Article 1 Section 3 of the Implementing Rules and Regulation of
Republic Act No. 9711, otherwise known as "Food and Drug Administration (FDA) Act of 2009”,
having complied withthe Rules and Regulations governing the operation of a Cosmetic establishment
specifically as a COSMETIC DISTRIBUTORMPORTER. This License is hereby issued in favor
of
PHYTO NATURALE TRADING CORPORATION
Unit 403 Vicar’s 1 Bldg,, # 31 Visayas Avenue corner Road 1,
Vasra, Quezon City
Owner : PHYTO NATURALE TRADING CORPORATION
‘Name of Authorized Person : MARCO ANTONIO D. MENDOZA
‘Name of Establishment
Address
This License shall be valid until 08 Jamuary 2016 and shall be renewed on or before validity
date,
Notwithstanding the issuance of this License, the establishment is still subject to inspection
by FDA authorized representatives at any reasonable time and day and can be suspended or revoked
anytime upon order from the FDA, should a violation of any of the provisions of FDA laws, and its
implementing rules and regulations, including but not limited to compliance to Good
tribution/Storage Practices, be committed.
All Cosmetic products to be distributed and sold shall be notified with FDA prior to their
introduction to market and subject for post evaluation and approval
is License must be displayed in a very conspicuous place within the establishment to
facilitate inspection.
WITNESS MY HAND and the Seal of this Office, this 8" day of January 2015.
BY AUTHORITY OF THE ACTING DIRECTOR GENERAL
MARIA RM, GUTIERREZ, RPh, MSe
Officer-in-Charge, Center for Cosmetics Regulation and Research
2014 _ Offic
Date. No.: 0574910 Amount:
MMG/FHG/mmm
LIST OF SOURCES SEE ATTACHED
LTONo.: CCRR-NCR-CD-1575
Civie Drive, Filinvest City, Alabang 1781 Muntinlupa, Philippines
‘Trunk Line +63 2.857 1900 Fax +632 8070751
Website: won fda.gov.ph mal: info@fda.gov.0hFOA-2015YSSTOTDAICOWGSRGISIG
Republic of the Philippines
Department of Health FBA
FOOD AND DRUG ADMINISTRATION Mat
Opening
LTO NO. CFRR-NCR-FI-S913
LICENSE TO OPERATE
asa
FOOD DISTRIBUTOR / IMPORTER
Pursuant to Republic Act No 3720, as amended by Republic Act No. 9711, otherwise
known as the Food and Drug Administration Act of 2009, other allied laws and their
implementing rules and regulations, this license is hereby issued in favor of:
‘Name of Establishment : PHYTO NATURALE TRADING CORPORATION
Business Address : Unit 4033 Vicars Bldg.,31 Visayas Ave. cor. Road 1,
Brgy. Vasra, Quezon Ci
Owner : PHYTO NATURALE TRADING CORPORATION
to operate as food distributor / importer having complied with the pertinent requirements
governing operations of such establishment.
This License shall be valid until 22 January 2016, subject to renewal and continuing
compliance of the licensee of the above-mentioned laws, other allied laws, rules and regulations
issued thereunder. This license must be displayed at all time in a conspicuous place within the
premises of the establishment,
‘Notwithstanding the issuance of this License, the same can be suspended or revoked
anytime upon order from the proper authority should a violation of any provision of FDA
implemented laws, rules and regulations be committed by the licensee.
All products must be registered with FDA prior to distribution, sale, offer for sale, or
transfer, and/or advertisement and promotion of the above licensee, as the case may be.
WITNESS MY HAND and the Seal of this Office, this 22 day of January 2015,
BY AUTHORITY OF THE ACTING DIRECTOR GENERAL
Dia. Vedionar D. Mo—
MARIA VICTORIA D. PINION, PhD
OIC, Center for Food Regulation and Research
Oficial Receipt No, 0574910 /05953S Date sued 11 September 2014 /09 December 2014 Amount: Php 3,030.00 / 1.01000
hie (2015)
Pract / Activites: ee attached lst
FDA-0056005Republic of the Philippines
Department of Health
FOOD AND DRUG ADMINISTRATION MT
22 January 2015
Name of Establishment : PHYTO NATURALE TRADING CORPORATION
Address : Unit 403 Viears Bldg., 31 Visayas Ave. cor. Road 1, Brgy. Vasra,
Quezon City
LTO No. CFRR-NCR-FI-5913
Sources + Phyto Stemcell Sdn. Bhd. - Kuala Lumpur, Malaysia
Mf. by: The Origin Foods Sdn Bhd - Selangor, Malaysia
Products: Phytoscience Double Stemcell
Phytoscience Miracle Intense Essence
ou D. PINION, PhD
OIC, Center for Food Regulation and Research
= Page I of 1~
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Experiment No. 1 Determination of Specific Gravity by U-Tube Year and Section: Date Started: Group Number: Date Finished: Group Members: Date Submitted