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Ss: Directorate: Radiation Control, Private Bag X62, Bellville, 7535 Street Address: 2nd Floor, Louwville Place, cor. Vrede & Kort St., Bellville, 7530 Enquiries: Tel: 021 - 948 6162 Fax: 021 - 946 1589 A: PRIMARY IMPORTER - APPLICANT Name: Postal Address: Street Address: Postcode: Website: B: PRODUCT INFORMATION Brand: Model: Intended purpose of this device according to the manufacturer’s labelling and instructions for use: C: MANUFACTURER Name: Address: Website: D: AUTHORISED REPRES.

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How to fill out the ZA 41BM-1(IMP) online

The ZA 41BM-1(IMP) form is essential for individuals or organizations seeking a license to import a new listed electromedical device under the Hazardous Substances Act. This guide provides step-by-step instructions for efficiently completing the form online, ensuring all required information is accurately submitted.

Follow the steps to successfully complete the ZA 41BM-1(IMP) online.

  1. Press the ‘Get Form’ button to access the ZA 41BM-1(IMP) form and open it in your selected digital editing platform.
  2. In section A, enter the details of the primary importer, including their name, postal address, street address, postcode, and website.
  3. Navigate to section B, where you must provide product information. Fill in the brand, model, and the intended purpose of the device as indicated by the manufacturer’s labeling.
  4. Proceed to section C and input the manufacturer's details, including their name, address, and website.
  5. In section D, provide information about the authorized representative in the European Union, including their name, address, website, email, and fax.
  6. For section E, identify the company contact person for regulatory correspondence. Users must confirm the accuracy of the submitted information by signing, dating, and including their title, designation, telephone number, cell number, email, and fax.
  7. After completing all sections, review your entries for accuracy. Save changes to the form, and download a copy for your records. You can then print or share the form as needed.

Complete your ZA 41BM-1(IMP) form online today to ensure a smooth application process.

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