Transfer of MA templates - Attachment 1
Letter head Transferor
Attachment 1
The name of the medicinal product concerned, the authorisation number(s) and the date on which the authorisation was granted
{Date}
{EMEA/H/C/xxx}
Dear Sir or Madam
Re: {Product Name (active substance)}
Application for Transfer of Marketing Authorisation from {name Transferor} to {name Transferee}
The marketing authorization to be amended by this Transfer procedure relates to the following medicinal product:
|{Name of the Medicinal Product}: | |
|{Active Substance}: | |
|{Marketing Authorisation Number(s)}: |{EU/…} |
|{Date of Marketing Authorisation* }: | |
* Mentioned in the section “Authorisation details” of the product-specific webpage on the EMA website
Yours faithfully
{Title, name, position} {Title, name, position}
For and on behalf of {name Transferor} For and on behalf of {name Transferee}
(The 'Transferor') (The 'Transferee')
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