BAI-AFSD CHECKLIST NO.

3
(C3)

CHECKLIST OF REQUIREMENTS FOR RENEWAL OF REGISTRATION

OF VETERINARY DRUG AND PRODUCT PREMIXES AND WATER SOLUBLE

PRODUCT NAME: ___________________________________________________

NAME OF COMPANY: _____________________________________________
GENERIC NAME OF PRODUCT: _________________________________

_________________ 1. Notarized letter of application

_________________ 2. Duly accomplished AFSD Form No. 3 and Annex Form No. 3-
A to include printed name and signature of Veterinary Medical
Officer
_________________ 3. Photocopy of License to Operate (LTO)

_________________ 4. Original copy of latest registration certificate (CPR)

_________________ 5. Foreign Agency Agreement/Distributorship Agreement

/Manufacturing Agreement
__________________ 6. Certificate of Analysis of the batch / lot number of
Sample submitted (BAI Accredited Laboratory)
__________________ 7. Duly accomplished Declaration Form

__________________ 8. Actual commercial labels (3 copies)

__________________ 9. Copy of the previously approved label

__________________ 10. Photocopy of PRC License of Veterinary Medical

Officer
__________________ 11. Approved Brand Name Clearance (BNC)

___________________________
AFSD-VDAPRLS Evaluator