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Product Monograph Translation Certification Form
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(Wordperfect Version - 31 K)Contact: RPM Division - GPR Division
Date: 2008-02-05
Therapeutic Products Directorate
Direction des produits thérapeutiques
Product Monograph Translation Certification Form
Formule de certification de traduction pour monographie de produit
We certify that the attached Product Monograph reflects an accurate translation of the final accepted version.
Nous certifions que la monographie de produit ci-jointe représente une traduction fidèle de la version finale et acceptée.
(name of drug)
(nom du médicament)
(control #)
(Numéro de contrôle)
Submitted by
Soumise par
(name of manufacturer)
(nom du fabricant)
Senior Medical/Scientific Officer
Le director medical/scientifique
Date
