FOOD,

MEDICINE AND HEALTH CARE ADMINISTRATION AND

CONTROL AUTHORITY OF ETHIOPIA
PRE IMPORT PERMIT CERTIFICATE

To: Negele Arsi General Hospital and Medical College

Negele
07/31/2022 17:10:59

It is hereby certified that the Food Medicine and Health Care Administration and Control authority of Ethiopia (FMHACA) has
approved your Pre Import Permit of the below products subject to the general terms and conditions of the attached contract.

General Information

Approval Date : 07/31/2022 17:10:40 Maintenance Cost Spare Part : 0 Shipping Instruction : By Air
Application Number : 11568/PIP/2022 Maintenance Cost Labour : ETB 0 Port of Entry : Bole International
Total Price : 10,291.42 Turnkey Cost : ETB 0 Airport
Expiry Date : 07/31/2023 17:10:25 Installation Cost : ETB 0 Evidence of Payment : Donation
Currency : US Dollar Freight : 0.00 Delivery : Within 120 days after receipt
Performa Invoice Number : MR-2022- Insurance : 0 Remark :
07-23 Discount : 0

Please use the above application number for any future correspondence with FMHACA.

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This certificate only valid if the product registration status is valid

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Product Detail
Pack Unit
No Product Size Man. Site Qty. Price Disc. Total Status

1 Schiotz psc REISTER Rudolf Riester GmbH - Bruckstr. 1.00 $ 75.000 $ 0 $ 75.00 Not
Tonometers MEDICAL 31 · 72417 Jungingen Germany Registered
T onometer - - - (Germany)

2 A-Scan (Alcon) pcs Alcon 1.00 $ 249.000 $ 0 $ 249.00 Not

A-Scan - - - Laboratories Registered
(Switzerland)

3 Hawkins pcs Hawkins Cookers Hawkins Cookers Limited, F 101, 2.00 $ 12.500 $ 0 $ 25.00 Not
Pressure Cooker Limited (India) Maker Tower, Cuffe Parade, Registered
Pressure Cooker - - - Mumbai (Bombay) 400 005

4 Handheld pcs Nidek Medical 1E/17, Jhandewalan Extension, 1.00 $ 105.000 $ 0 $ 105.00 Not
Ref/Keratometer India (India) New Delhi-110055, India Registered
keratometer - - -

5 Shaughnessy pcs Raydent Raydent Meditech Pvt.Ltd, H No: 10.00 $ 41.570 $ 0 $ 415.70 Not
SAPPHIRE Meditech Pvt.Ltd 552, Kotla Vihar Phase 2 Nangloi, Registered
KNIFE (India) New Delhi- 110043, INDIA
SAPPHIRE KNIFE -
- -

6 Shaughnessy pcs Raydent Raydent Meditech Pvt.Ltd, H No: 10.00 $ 2.228 $ 0 $ 22.28 Not
KERETON Meditech Pvt.Ltd 552, Kotla Vihar Phase 2 Nangloi, Registered
KNIFE (India) New Delhi- 110043, INDIA
KERET ON KNIFE - -
-

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7 Webaledge pcs Raydent Raydent Meditech Pvt.Ltd, H No: 10.00 $ 2.228 $ 0 $ 22.28 Not
CRESENT KNIFE Meditech Pvt.Ltd 552, Kotla Vihar Phase 2 Nangloi, Registered
CRESENT KNIFE - - (India) New Delhi- 110043, INDIA
-

8 Stainless Steel pcs Raydent Raydent Meditech Pvt.Ltd, H No: 20.00 $ 0.350 $ 0 $ 7.00 Not
BOWL SET Meditech Pvt.Ltd 552, Kotla Vihar Phase 2 Nangloi, Registered
BOWL SET - - - (India) New Delhi- 110043, INDIA

9 Webaledge SIDE pcs Raydent Raydent Meditech Pvt.Ltd, H No: 10.00 $ 1.000 $ 0 $ 10.00 Not
PORT Meditech Pvt.Ltd 552, Kotla Vihar Phase 2 Nangloi, Registered
Webaledge SIDE (India) New Delhi- 110043, INDIA
PORT - - -

10 CATARACT SET SET Raydent Raydent Meditech Pvt.Ltd, H No: 16.00 $ 31.250 $ 0 $ 500.00 Not
Cataract Set - - - Meditech Pvt.Ltd 552, Kotla Vihar Phase 2 Nangloi, Registered
(India) New Delhi- 110043, INDIA

11 FIRST-AID KIT pcs Raydent Raydent Meditech Pvt.Ltd, H No: 1.00 $ 2.140 $ 0 $ 2.14 Not
FIRST -AID KIT - - - Meditech Pvt.Ltd 552, Kotla Vihar Phase 2 Nangloi, Registered
(India) New Delhi- 110043, INDIA

12 DISPOSABLE pcs Bioflex / Bioflex / Surgitech Innovations 150.00 $ 0.018 $ 0 $ 2.70 Not
SURGEON Surgitech RO.A-2,Purshotam Gardens , Registered
GOWN - 43GS Innovations Kanjpura Road karnal - 132001
SURGEON GOWN - (India)
- -

13 DISPOSABLE pcs Bioflex / Bioflex / Surgitech Innovations 2,200.00 $ 0.002 $ 0 $ 5.28 Not
STICKING PAD - Surgitech RO.A-2,Purshotam Gardens , Registered
DSP Innovations Kanjpura Road karnal - 132001
DISPOSABLE (India)
ST ICKING - - -

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14 TROLLY SHEET pcs Bioflex / Bioflex / Surgitech Innovations 100.00 $ 0.003 $ 0 $ 0.30 Not
120X70 Surgitech RO.A-2,Purshotam Gardens , Registered
T ROLLY SHEET - - - Innovations Kanjpura Road karnal - 132001
(India)

15 EYE DRAPE pcs Bioflex / Bioflex / Surgitech Innovations 2,200.00 $ 0.003 $ 0 $ 5.72 Not
60X60 - Surgitech RO.A-2,Purshotam Gardens , Registered
EDP6060PC Innovations Kanjpura Road karnal - 132001
Eye Drape - - - (India)

16 NON WOVEN pcs Bioflex / Bioflex / Surgitech Innovations 50.00 $ 0.014 $ 0 $ 0.72 Not
LONG SHOE Surgitech RO.A-2,Purshotam Gardens , Registered
COVER - Innovations Kanjpura Road karnal - 132001
BDLSCNM (India)
NON WOVEN
LONG SHOE
COVER - - -

17 EYE WEAR B-2 pcs SURGITECH SURGITECH INNOVATIONS RO.A- 2,500.00 $ 0.004 $ 0 $ 9.08 Not
(DARK GREY) INNOVATION 2,Purshotam Gardens , Kanjpura Registered
EYE WEAR - - - (India) Road karnal - 132001

18 DISPOSABLE pcs SURGITECH SURGITECH INNOVATIONS RO.A- 2,200.00 $ 0.027 $ 0 $ 59.40 Not
SURGEON CAP INNOVATION 2,Purshotam Gardens , Kanjpura Registered
DISPOSABLE (India) Road karnal - 132001
SURGEON Cap - - -

19 FACE MASK pcs SURGITECH SURGITECH INNOVATIONS RO.A- 170.00 $ 0.003 $ 0 $ 0.51 Not
N95 W/O VALVE INNOVATION 2,Purshotam Gardens , Kanjpura Registered
Face masks, Surgical (India) Road karnal - 132001
- - -

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20 DISPOSABLE 25 SURGICARE SURGICARE, OPPOOTTIL 25.00 $ 0.152 $ 0 $ 3.81 Not
SURGICAL pairs (India) BUILDINGS, K.K. ROAD, Registered
RUBBER KOTTAYAM - 686001KERELA
GLOVES 6
Surgical Rubber
Gloves - - -

21 DISPOSABLE 500 SURGICARE SURGICARE, OPPOOTTIL 50.00 $ 1.523 $ 0 $ 76.13 Not

SURGICAL Pair (India) BUILDINGS, K.K. ROAD, Registered
RUBBER KOTTAYAM - 686001KERELA
GLOVES 6.5
Surgical Rubber
Gloves - - -

22 DISPOSABLE 50 SURGICARE SURGICARE, OPPOOTTIL 1,000.00 $ 0.152 $ 0 $ 152.27 Not

SURGICAL pair (India) BUILDINGS, K.K. ROAD, Registered
RUBBER KOTTAYAM - 686001KERELA
GLOVES 7.5
Surgical Rubber
Gloves - - -

23 DISPOSABLE pcs SURGICARE SURGICARE, OPPOOTTIL 50.00 $ 0.152 $ 0 $ 7.61 Not

SURGICAL (India) BUILDINGS, K.K. ROAD, Registered
RUBBER KOTTAYAM - 686001KERELA
GLOVES 7.0
Surgical Rubber
Gloves - - -

24 DISPOSABLE 100 SURGICARE SURGICARE, OPPOOTTIL 100.00 $ 0.166 $ 0 $ 16.63 Not

SURGICAL pair (India) BUILDINGS, K.K. ROAD, Registered
RUBBER KOTTAYAM - 686001KERELA
GLOVES 8.0
Surgical Rubber
Gloves - - -

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25 NEEDLE - 18 pcs Hindustan 174-178, Sector 25, Ballabgarh 100.00 $ 0.010 $ 0 $ 1.00 Not
18G X 1.5 “ Syringes & Faridabad, Haryana (121001) Registered
NEEDLE - - -
Medical devices
(India)

26 NEEDLE - 24 pcs Hindustan 174-178, Sector 25, Ballabgarh 2,100.00 $ 0.009 $ 0 $ 18.90 Not
NEEDLE 24 - - - Syringes & Faridabad, Haryana (121001) Registered
Medical devices
(India)

27 NEEDLE - 26 pcs Hindustan 174-178, Sector 25, Ballabgarh 2,100.00 $ 0.010 $ 0 $ 20.52 Not
NEEDLE - 26 - - - Syringes & Faridabad, Haryana (121001) Registered
Medical devices
(India)

28 NEEDLE - 30 pcs Hindustan 174-178, Sector 25, Ballabgarh 100.00 $ 0.025 $ 0 $ 2.50 Not
NEEDLE - 30 - - - Syringes & Faridabad, Haryana (121001) Registered
Medical devices
(India)

29 SYRINGE 1 ML pcs Hindustan 174-178, Sector 25, Ballabgarh 100.00 $ 0.044 $ 0 $ 4.38 Not
Syringes, 1cc/tb - - - Syringes & Faridabad, Haryana (121001) Registered
Medical devices
(India)

30 SYRINGE 2 CC pcs Hindustan 174-178, Sector 25, Ballabgarh 100.00 $ 0.013 $ 0 $ 1.25 Not
SYRINGE 2 CC - - - Syringes & Faridabad, Haryana (121001) Registered
Medical devices
(India)

31 SYRINGE 5 CC pcs Hindustan 174-178, Sector 25, Ballabgarh 500.00 $ 0.018 $ 0 $ 9.15 Not
SYRINGE 5 CC - - - Syringes & Faridabad, Haryana (121001) Registered
Medical devices
(India)

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32 SYRINGE 10 CC pcs Hindustan 174-178, Sector 25, Ballabgarh 300.00 $ 0.038 $ 0 $ 11.40 Not
SYRINGE 10 CC - - - Syringes & Faridabad, Haryana (121001) Registered
Medical devices
(India)

33 INFUSION SET pcs Romsons plot No.59-J(C)$Plot No.148,Noida 150.00 $ 0.103 $ 0 $ 15.45 Not
INFUSION SET - - - International(unit Special Economic Zone,Noida Registered
II) (India) Dadri Road,Phase II,Noida-
201305,uttar pradesh,

34 BALANCED pcs Alcon 140.00 $ 4.383 $ 0 $ 613.62 Not

SALT SOLUTION Laboratories Registered
BALANCED SALT (Belgium)
SOLUT ION - - -

35 SUTURE - 10.0 pcs JOHNSON & C/O EUROPEAN LOGISTICS 12.00 $ 4.010 $ 0 $ 48.12 Not
Suture set box - - - JOHNSON CENTER, LEONARDO DA Registered
INTERNATIONAL VINCILAAN 15, DIEGEM
(Belgium)

36 BETADINE pcs Dr. Reddy’s CTO – Unit – V, Peddadevulapally 10.00 $ 3.519 $ 0 $ 35.19 Not
SOLUTION Laboratories – 508207 Tripuraram Mandal, Registered
500ml Limited (India) Nalgonda District, Telangana,
BET ADINE India
SOLUT ION - - -

37 BETADINE pcs Dr. Reddy’s CTO – Unit – V, Peddadevulapally 5.00 $ 2.680 $ 0 $ 13.40 Not
SCRUB 500 ml Laboratories – 508207 Tripuraram Mandal, Registered
BET ADINE SCRUB - Limited (India) Nalgonda District, Telangana,
- -
India

38 ACETONE pcs JOHNSON & C/O EUROPEAN LOGISTICS 8.00 $ 8.515 $ 0 $ 68.12 Not
BOTTLE 2.5 JOHNSON CENTER, LEONARDO DA Registered
litre INTERNATIONAL VINCILAAN 15, DIEGEM
ACET ONE BOT T LE (Belgium)
- - -

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 39 DETTOL pcs JOHNSON & C/O EUROPEAN LOGISTICS 5.00 $ 1.878 $ 0 $ 9.39 Not
SOLUTION 1 JOHNSON CENTER, LEONARDO DA Registered
litre INTERNATIONAL VINCILAAN 15, DIEGEM
DET T OL (Belgium)
SOLUT ION - - -

40 SPIRIT BOTTLE pcs NICEWELL.CO yinxiu road 5.00 $ 2.128 $ 0 $ 10.64 Not
1 litre (China) Registered
SPIRIT BOT T LE 1
litre - - -

41 INTRAOCULAR pcs APPASAMY NO.20,SBI OFFICERS 3,000.00 $ 1.878 $ 0 $ Not

LENS ASSOCIATES COLONY,ARUMBAKKAM,CHENNA 5,634.84 Registered
INT RAOCULAR (India) 1600 106.
LENS - - -

42 Operating pcs TAKAGI SEIKO TAKAGI SEIKO CO., LTD. 330-2 1.00 $ $ 0 $ Not
Microscope CO., LTD (Japan ) Iwafune, Nakano-shi, Nagano 2,000.000 2,000.00 Registered
Operating Prefecture 383-8585 Japan
Microscope - - -

Total Price: $ 10,291.42

Thank You,
Food Medicine and Health Care Administration and Control Authority

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 TERMS AND CONDITIONS OF CONTRACT
1. For a device to have port clearance permission by the authority
• If the device has five years and above shelf life, when it arrives at the port of entry, it should have 60% or more of its shelf life.
• If the device has less than five years shelf life, when it arrives at the port of entry, it should have 50% or more of its shelf life.
• For emergency cases, the device should have a shelf life of more than 50% of its shelf life on arrival at port entry of the country.
• For equipment, when it arrives at the port of entry, it shall have more than 60% of its total use by date.
2. Language used for writing label, leaflet and other documents shall be in English and/or Amharic. This should be legible, permanent and
prominent manner that can be easily understood by the intended user.
3. All packing should be suitable for road, air and sea transport under tropical conditions
4. The label shall bear at least the following particulars:-
a. The generic name or trade name of the device;
b. The intended purpose of the device;
c. Name and address of manufacturing site and/or name and address of license holder, if any
d. Lot number or serial number or equivalent symbol of the device, as appropriate;
e. Handling and storage condition
f. If the device is sterile, an indication of its sterile state and sterilization method;
g. If device is donated, the word ‘donated device’ need to add to other requirements
h. Qualitative composition of the device and quantitative information of constituent (s), if any
5. Accompanying invoices should be as per the purchase order including Batch number, manufacturing and expiry date of each item, if any.

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