MASTER COPY

SQUARE PHARMACEUTICALS LIMITED

DHAKA UNIT

DOCUMENT NO. lssue Date Effective Date Review Due

PAG E
soP/oA/011107 10F1
B MAY '10 7 2 llAY ',i0 2 z !{AY ',iZ

APPENDIX- D

DQ/IQ/OQ PROTOCOL FOR ...

QUALIFICATION / REQUALIFICATION PROTOCOL REFERENCE NO..
FINAL APPROVAL
(Final Page)

1. The tests in this DQ/IQ/OQ Protocol have been carried out in accordance with the requirements
of the Protocol in conjunction with SOP/QfuO11107
There are. ...... Quality lncident Report identified and these are listed on Quality
lncident Report form.

Date

2. Remedial actions, to rectify the identified Quality lncident, have been agreed, responsibility
assigned and target completion dates set (if applicable)

Name:

Date

.7
The testing and remedial actions, including retesting have been successfully carried out and
the DQ/lQ/OQ is now satisfactorily completed.

Designation Name Signature Date

Head of Department
Validation Manager
Sr. Manager, Quality Assurance

Name Designation Signature Date

Prepared by Tauhida Umme Zakia Executive, Quality Assurance ffi-J.,* f 9 |.fc('lo
Reviewed by Sabita Basak Sr. Executive, Quality Assuran@ '/J*'?V' lo 1"1*,.-'1,

Approved by Dr. Md. Zahurul Hossain Sr. Manager, Quality Assurari6e 1/D- !4 ,Llc v'/,
Authorized by lmtiaz Ahmed Khilji DGM, Quality Operation s f l;.^ x i{44,1il
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