Questions and answers on how to correctly fill in this webform * Mandatory field Surname and first name E-mail Marketing Authorisation Holder name Marketing Authorisation Holder address Name of medicine Type of API - Select -Chemically synthesised APIBiological API Active pharmaceutical ingredient (API)/intermediate Marketing Authorisation Number Procedure Number (DCP, MRP, NAT) For DCP and MRP use the country code + product counter of maximum 4 numbers, for example BE-106. For national procedure use NAT + product counter of maximum 4 numbers, for example NAT-1125 Upload signed version of the form One file only.25 MB limit.Allowed types: jpg jpeg png txt pdf doc docx ppt pptx xls xlsx rar zip. Privacy Leave this field blank