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Export Certification
FDA certification form for export
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DATE
FE No.:
YY-MM-DD-XXXX
EXPORT CERTIFICATION
The Food and Drug Administration hereby grants Commodity Clearance to:
CONSIGNOR'S NAME
CONSIGNOR'S ADDRESS
to export the following product/s:
PRODUCT DESCRIPTION
QUANTITY
xxxxxxxxx
xxxxxxx
x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x
CONSIGNEE:
COMPANY'S NAME
Company's Address
BY AUTHORITY OF THE FDA ACTING DIRECTOR GENERAL
PILAR MARILYN M. PAGAYUNAN
OIC, CENTER FOR FOOD REGULATION AND RESEARCH
DATE
FCO No.: YY-MM-DD-XXXX
TO WHOM THIS MAY CONCERN:
This is to certify that the sample/s from the shipment covered by the attached Commodity
Clearance YY-MM-DD-XXXX(FE NO.) dated Date consisting of:
PRODUCT DESCRIPTION
QUANTITY
xxxxxxxxx
xxxxxxx
x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x
contain permissible food ingredients and is safe for human consumption.
This is to certify further that said product/s is freely sold in the Philippines.
The certification is being issued upon the request of CONSIGNOR'S NAME, Consignor's
Address.
BY AUTHORITY OF THE FDA ACTING DIRECTOR GENERAL
PILAR MARILYN M. PAGAYUNAN
OIC, CENTER FOR FOOD REGULATION AND RESEARCH
d by the attached Commodity
Consignor's
