CEDEM AG

Bergstrasse 107, 8032 Zürich, Switzerland

Tel.: +41 43 544 45 88
E-mail: Info@cedemag.com
www.cedemag.com

New Formula Form

Client Information
Company:
Contact Person:
Country:
Email:
Telephone:
Email:
Brand Name:
Formula details
Product Name:
Product Type: Food Supplements Vitamins Cosmetics Medical device
Pharmaceutical product Other……………………….
Dosage Form: Tablet Chewable Tablet Effervescent Tablet Caplet Hard Shell
Capsule Soft Gel Capsule Syrup Solution Emulsion Powder
Sachet Granule Sachet Gummies Lollipop Other……………………..
Special Requests on dosage form size,
weight, colour:
Size per box/bottle:
Primary Packaging Type: Ampoules Vials Containers Blister Dosing Dropper
Syringe Sachet Other……………………….
Product Detailed Formula (Active and
Inactive Ingredients) Serving:
Ingredient Concentration Type (Active/
Inactive)

Sugar: Yes No
Sweeteners: Yes No
Sweetener Type:
Flavours: Yes No
Available benchmark? Yes No
Benchmark details:
Target Age Group: Infant (1 month – 2 years) Young Child (2 – 6 years) Child (6 – 12 years)
Adolescent (12 – 18 years) Adults (>18)
Commercial Information
Target Market:
First Order Quantity
Estimated First Forecast

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Planned product launch time:
Available design/artwork?
If yes, please attach it.
Documents Required
Remarks:
Customer Name:……………………
Position:……………………………..
Date:…………………………………
Signature: …………………………..
CEDEM AG
Bergstrasse 107, 8032 Zürich, Switzerland
Tel.: +41 43 544 45 88
E-mail: Info@cedemag.com
www.cedemag.com
Regulatory Information
Yes No
Invoice
Packing List
Certificate of Analysis
Certificate of Origin
Method of Analysis
Health Certificate
Halal Certificate
Free Sale Certificate
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