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Veritas Pharmaceuticals Ltd

House# 77, Road # 4, Block - C, Banani, Dhaka- 1213


Tel.: +880 2 9822217-18, Fax: +880 2 9822231,
Email: info@veritaspharmabd.com, Web: www.veritaspharmabd.com
Factory: Vannara, Moucnak, Kaliakoir, Gazipur, Bangladesh
Change Approval Form

Initiating Dept.
Change Control No.
Stage/ Document
Manufacturing Date
Implementation Date
Description of Current Process:

Description & Reason of Proposed Process:

Nature of Change: ■ Temporary ■ Permanent

Justification/Impact of Change:

Signature of Initiator_________ Head of Initiating Dept.________


Date___________ Date_______
Change Approved by Change Approved by

___________ ___________
VC & CEO Chairman
Comments:

Validation Status
■ will affected/Not affected
Signature_______
Quality Control/Compliance
Comments from engineering Dept :
(If required)
Signature_______
Manager Engineering
Comments from production Dept :
(If required)
Signature_______
Manager production
Doc. No.: VPL/ QA/ FRM/52
Change Agreed by Change Agreed by

___________ ____________
QA Manager Plant Manager

Doc. No.: VPL/ QA/ FRM/52

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