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MHRA Subscribing Organisaton Registration Form

Use this form to register your organisation to use MHRA Portal or RamaXL. MHRA Subscribing Organisaton Registration FormSection 1: Organisation and Director InformationTitle * :Forename * :Middle Name:Surname * :Address Line 1 * :Address Line 2:Address Line 3:City * :County / State:Postcode / Zip * :Country * :Residential Tel * Director DetailsEnter organisation director's personal details in the fields below:Enter organisation director's residential address in the fields below:Enter details for a referee from your organisation:Referee's Full Name * :Contact Telephone No * :MHRA Portal AccountI wish to apply for: RamaXL Product LicensingI am an existing subscriber of: MHRA PortalRamaXL Product LicensingState the number of additional user bundles you require (one bundle is equal to five users) * :State the number of additional user bundles you require (one bundle is equal to five users) * :Note.

MHRA website includes an internet-based hosted platform designed to enable pharmaceutical companies to carry out business with MHRA electronically through a central hub (“MHRA Portal”).A “Digital Workspace” is a portion of MHRA Portal that has been specially configured for a company so that certain companies can conduct their business with MHRA in a secure electronic environment.

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