MCA-F-411/01, Version 4 — Application for Licensing as Importer of Medicines and Related Products
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Contents
MEDICINES CONTROL AGENCY
MCA
THE GAMBIA
Application for Licensing as Importer
of Medicines and Related Products
Off OIC Highway, Sukuta, West Coast Region, P.O. Box 3162, The Gambia, 97XW+8HH
Website: www.mca.gm; E-mail: info@mca.gm; Tel. No.: +2204380632
☐ New licence ☐ Renewal Licence No.
PARTICULARS OF APPLICANT & SUPERVISING PHARMACIST
Name of Entity
Name of
Head/Owner
Physical Address
of entity
Contact Details
Telephone No.
Email
Website
Name of
Supervising
Pharmacist
Pharmacy
Council
Registration No
Contact Details
of Supervising Telephone No.
Pharmacist
Email
FOR NEW LICENCES ONLY
Date of Incorporation of
Company
Business Registration number
ITEMS TO BE IMPORTED (Tick all as appropriate)
☐ For Human use ☐ For Veterinary use
MCA-F-411/01, Version 4 – 18 September 2026 Page 1 of 3
Original PDF page 1 — retained source fields, tables and layout.
Application for Licence as Importer of Medicines and Related Products MCA The Gambia
Medicines
☐ Allopathic ☐ Herbal ☐ Homeopathic ☐ Vaccine ☐ Biological
☐ Nutritional Supplement
Products
☐ Medical Device ☐ Diagnostics ☐ Cosmetics
☐ Other (Please specify)
Attach the documents as follows:
☐ Proof of payment of application fee (MCA receipt)
☐ a copy of valid for identification
☐ a copy of the certificate of registration of the pharmaceutical
company/business by the Registrar of Companies in The Gambia
☐ a copy of the annual return certificate from the Registrar of Companies in the
Gambia
☐ a copy of the wholesale licence by the Pharmacy Council of The Gambia
☐ a copy of the certificate of registration of the supervising pharmacist with the
Pharmacy Council of The Gambia
☐ Other
DECLARATION
We, the undersigned, hereby declare that all information contained herein is correct
and true.
Supervising Pharmacist OFFICIAL STAMP
Signature
Date
Head/Owner of Entity
MCA-F-411/01, version 4 - 18 September 2026 Page 2 of 3
Original PDF page 2 — retained source fields, tables and layout.
Application for Licence as Importer of Medicines and Related Products MCA The Gambia
Signature
Date
MCA-F-411/01, version 4 - 18 September 2026 Page 3 of 3
Original PDF page 3 — retained source fields, tables and layout.
