Quality Complaints Form

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Quality Complaints Form

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Reference Number: FOR BOMRA USE

[Quality Defect], Class [I /II/III]; Product [Name/INN]., Action [Recall/No Recall/Follow-up]., Quality Complaint Reference Number., [XXX/MM/YYYY].

For example: Q-Defect/I/Product-X/Follow-up/001/07/2021
DD slash MM slash YYYY
DD slash MM slash YYYY
Accepted file types: png, jpg, pdf, Max. file size: 200 MB.
A clear visible photo of the product with clear (attach copy); a. Labelling b. Product name c. Stated manufacturer d. Batch number e. Manufacturing date f. Expiry date g. Place of identification