Membership - Application form

 
 
Here you can apply for regular membership, associate membership, for becoming liaison member or guest/observer. If you are not sure what status applies to you, please see the information on requirements.
1. Regular Membership
 
I'm a Qualified Person and registered at the following authority
 
Authority Name
Street / P.O. Box
City
Zip Code
Country

I've been registered since

   
2. Associate Membership
 
I'm currently preparing to become a Qualified Person and I'd thus like to become associate member*
   
I'm not a Qualified Person (Please make sure to answer 2a or 2b)

PLEASE NOTE: IF YOU MARK 2a OR 2b WE NEED YOU TO PROVIDE THE FOLLOWINIG INFORMATION BEFORE WE CAN PROCESS YOUR APPLICATION AND CONFIRM YOUR MEMBERSHIP.

  • a copy of your university degree
  • a confirmation from your company that you have acquired practical experience over at least two years, in one or more undertakings which are authorized to manufacture medicinal products, in the activities of qualitative analysis of medicinal products, of quantitative analysis of active substances and of the testing and checking necessary to ensure the quality of medicinal products. The duration of practical experience may be reduced by one year where a university course lasts for at least five years and by a year and a half where the course lasts for at least six years.
2a I’m fulfilling the QP qualification requirements according to EU Directive 2001/83 (Human Medicinal Products) or 2001/82 (Veterinary Medicinal Products), but I am not yet registered, appointed or approved from a EU member state, official EU member candidate or proposed candidate.
 
2b I’m fulfilling the QP qualification requirements according to EU Directive 2001/83 (Human Medicinal Products) or 2001/82 (Veterinary Medicinal Products), but I practice in a country that is not a EU member state, official EU member candidate or proposed candidate.
   
* Please also note that the associate membership is limited to one year, but can be renewed for another one year period.
3. Liaison Membership* and Guests/Observers

Please note: you can only apply for this status if you represent a regulatory authority, an inspectorate or an industry association, institution or organisation. Any of your colleagues applying for membership will receive guest/observer status.
 
I'm with the following authority/organisation and would like to apply for the liaison membership
 
Authority/Organisation Name
Street / P.O. Box
City
Zip Code
Country
Please also provide the following information:

  My fields of interest are
 
EU Regulatory / GMP Requirement
Marketing Authorisation
Batch Release
Supplier Qualification
Auditing of Suppliers / Contract Manufacturing
Preparation for Authority Inspection
Validation
Personal Training
 
  I'm involved in the following kind of manufacturing
 
Sterile / Aseptic Production (Injectables & others)
Solid Dosage Forms
Semi Solid Dosage Forms
Liquid Non Sterile Dosage Forms
API Production requiring QP release*)
Biologics (Blood, Vaccines...)
Herbals
Investigational Medicinal Products
Advanced therapies (stem cell production etc)
Others (please specify):
*) Biotech API production (genetic engineering or fermentation) and API production from human or animal sources requires QP release in some European Countries
  Personal Information
 
 
Mr    Ms  
First Name
Last Name
Company
Department
Street / P.O. Box
City
Zip Code
Country
Phone
Fax
E-Mail