Submit LOA-Request

Submission Details
Country Of Submission*
Are you working for a third party customer?
We offer our customers the alternative to submit individual request upon third parties Letter of Authorization (LoA) application in China. Please kindly direct your request to Dr. Karen Liu (Karen.liu@schott.com)
Company requesting to issue a LOA
Company Name*
[LOA]Company Name China
(in Chinese, only relevant for China Submission)
Address 1*
Address 2
City*
State/Province*
Zip/Postal Code*
Country*
First Name*
Last Name*
Title
Phone*
E-mail*
E-Mail Confirmation
Company for whom the LOA is being issued
Is the company for whom the LOA is being issued the same as the requesting company?
If not, please add additional company by clicking the button below.

SCHOTT Product Details
SCHOTT Product Manufacturing Facility*
SCHOTT Product Group*
SCHOTT Product Description (e.g. pen cartridge 20ml)*
SCHOTT Article No. (7-digit starting with 1... )
Information of Drug to be applied at the NMPA in China (China Submission),
(Should be identical to the name given in the submission dossier to NMPA)
Name of the drug (in English)
Name of the drug (in Chinese)
Route of administration (in English)
Route of administration (in Chinese)
Comments
Comments
* = Mandatory entry