B8: MEDICINES CONTROL AGENCY
B9: Off OIC Highway, Sukuta, West Coast Region, P.O. Box 3162, The Gambia
B10: Website: www.mca.gm; E-mail: info@mca.gm; Tel. No.: +2204380632
B12: LISTING OF MEDICAL DEVICES - MCA-F-117/02
B15: NAME OF APPLICANT:
B16: ADDRESS:
B17: EMAIL:
B18: WEBSITE:
B19: TELEPHONE:
B21: STATUS OF APPLICANT: C21: MANUFACTURER D21: MARKETING AUTHORIZATION HOLDER F21: IMPORTER
B24: ITEM NO. C24: NAME AND DESCRIPTION OF THE PRODUCT D24: INDICATITON/USE E24: PACKAGE SIZE & PRESENTATION F24: NAME & FULL ADDRESS OF MANUFACTURER G24: SRA COUNTRY PRODUCT APPROVED/REGISTERED H24: NAME & ADDRESS OF SOURCE
C32: FOR APPLICANT'S USE ONLY
B33: Importer Licence Number (where applicable)
B35: Name of supervising Pharmacist/Supervisor D35: Registration Number with Relevant Council
B37: Signature D37: OFFICIAL STAMP
B39: Date
B41: Name of business owner or duly authorised person
B43: I, the undersigned certify that the information provided on these products for listing is true and reflects the total informationavailable. I hereby take full responsibility and liability for any information provided.
B46: Signature
B47: Date
C52: FOR OFFICIAL USE ONLY
B53: Vetted by (Name) C53: Signature and Date D53: Designation
B56: Approved by C56: Signature and Date D56: OFFICIAL STAMP
B64: Annex 2 - Guideline for Listing of Medicines and Related Products MCA-F-117/02, version 4 – 19 June 2026