Permohonan Temujanji Kutipan Sijil/ Application for Certificate Collection Appointment
Tuan/ Puan,

Mohon tuan/ puan untuk mengisi butiran di bawah untuk tujuan permohonan temujanji ini. Pihak kami akan memberi maklum balas melalui emel mengenai tarikh dan masa temujanji anda. MDA hanya menerima temujanji dalam jumlah yang terhad sahaja dan permohonan akan diterima secara first come, first serve basis. Sila bawa bersama emel temujanji anda semasa membuat kutipan sijil. Untuk makluman tuan/ puan, hanya Sijil Pendaftaran Peranti Perubatan dan Sijil Lesen Establismen sahaja yang boleh diambil sepanjang Perintah Kawalan Pergerakan dikuatkuasakan bermula 1 Jun 2021 sehingga 14 Jun 2021.

Sekian, terima kasih.

_________________________________________________________________________________

Sir/ Madam,

Kindly fill out the form below for the appointment application. We will revert back through email with the date and time of your appointment. MDA will only received appointments in a limited amount and first come, first serve basis. Please bring along your appointment email during certificate collection. For your information, only Medical Device Registration Certificate and Establishment License can be collected during MCO starting from 1st June 2021 until 14th June 2021.

Thank you.
Nama/ Name: *
Syarikat/ Company: *
Alamat Syarikat/ Company Adress: *
Emel/ Email: *
No. Telefon/ Contact No.: *
Jenis Kutipan/ Type of Collection: *
Required
Mohon berikan submission id bagi sijil-sijil yang ingin dikutip/ Please give submission id for the certificates that you wish to collect: *
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