 ‫א‬LL‫א‬

‫א‬‫א‬،‫א‬

‫א‬
‫א‬‫א‬‫א‬ •

‫א‬،‫א‬‫א‬L
‫א‬
‫א‬
K
‫א‬‫א‬‫א‬
 ‫א‬‫א‬

K ‫א‬ •

K‫א‬‫א‬‫א‬‫א‬‫א‬
‫א‬‫א‬ •
‫א‬‫א‬‫א‬‫א‬‫א‬‫א‬‫ א‬‫א‬‫א‬‫א‬ •
‫א‬E‫א‬‫א‬F٨L٧L١٤٢٦ 
٣٩L‫א‬
‫א‬‫א‬‫א‬

‫א‬
K‫א‬
‫א‬‫א‬
K‫א‬‫א‬
‫א‬‫א‬‫א‬‫א‬‫א‬
 ‫א‬‫א‬‫א‬
‫א‬
  •
‫א‬E‫א‬
‫א‬F١L٦L١٤٢٥ 
٣١L‫א‬
‫א‬‫א‬‫א‬

‫א‬
K‫א‬
‫א‬‫א‬
K‫א‬‫א‬
 ‫א‬F٢٥L١L١٤٢٨٦L  ‫א‬ •
‫א‬‫א‬‫א‬‫א‬‫א‬‫א‬
  ‫א‬
K‫א‬‫א‬‫א‬  E‫א‬
K‫א‬‫א‬‫א‬ ‫א‬
‫א‬‫א‬

EF‫א‬‫א‬L‫א‬
W‫א‬

W‫א‬

 W‫א‬

W‫א‬

‫א‬‫א‬‫א‬ 

 
Own
ner/ General M
Manage
er of th
he comp
pany co
ommitm
ment

• This form has b been filleed by my knowleedge witth compllete and correct
informaation. Also, all attached
a documents are stamped d by com mpany's
stamp aand considered ass an officcial copy. I take th he extremme respon nsibility
for any forgery o or incorrrect inforrmation oon these ddocumen nts.
• I promiise to upd date any changes in the cu urrent infformationn.
• I will no
ot store aany produ uct unlesss I have the
t licensse from SSFDA.
• I have read alll terms and con nditions of the A Anti-Narccotic Dru ugs and
Psychottropic Su ubstances Executtive Guid delines isssued byy Royal d decision
No. M/3 39 datedd 8/7/142 26 Hj, (Published in SFDA A web sitee) and I p
promise
to follo
ow all its contentt and anyy regulattions follo owed. Allso I promise to
follow aany regullation isssued by SFDA in fu uture.
• I have rread all terms
t and conditiions of th he Drug Establish hment Exxecutive
Guidelinnes issuued by R Royal deecision N No. M/3 31 dated d 1/6/14 425 Hj,
(Publishhed in SF FDA web b site) annd I prommise to fo ollow all its conteent and
any reggulations followed d. Also I ppromise tto follow any regu ulation isssued by
SFDA in n future.
• I have rread the Saudi
S Food and Drug
D Authhority reggulation, issued b
by Royal
decisionn No. M//6 dated 25/1/14
2 428 Hj, (PPublishedd in SFDA A web sitee) and I
promise to follow all itts conten nt and aany regu ulations ffollowed.. Also I
promise to follow any future regu ulation isssued by SFDA.

Owne
er/ General Ma
anagerr (for co
ompaniies)
Name:
Date:
Signatu
ure:
Stamp::

Sig
gnature
e should
d be conffirmed b
by Comm
mercial chamber