FDAC Eportal Request
FDAC Eportal Request
EPORTAL: REQUEST FOR ACCOUNT RENEWAL EPORTAL: REQUEST FOR ACCOUNT RENEWAL
For fdauser For fdauser
EMAIL TO: fdac@fda.gov.ph EMAIL TO: fdac@fda.gov.ph
SUBJECT: eLTO: REQUEST FOR ACCOUNT RENEWAL SUBJECT: eLTO: REQUEST FOR ACCOUNT RENEWAL
BODY: Company Name: BODY: Company Name:
Username: Username:
Password: Password:
For CFRRUser For CFRRUser
EMAIL TO: cfrr@fda.gov.ph EMAIL TO: cfrr@fda.gov.ph
SUBJECT: CFRR: REQUEST FOR ACCOUNT RENEWAL SUBJECT: CFRR: REQUEST FOR ACCOUNT RENEWAL
BODY: EMAIL ADDRESS: BODY: EMAIL ADDRESS:
NAME: NAME:
COMPANY NAME: COMPANY NAME:
USERNAME: USERNAME:
PASSWORD: PASSWORD:
FOR CCRRUser FOR CCRRUser
EMAIL TO: ccrraseannotification@gmail.com/ ccrr@fda.gov.ph EMAIL TO: ccrraseannotification@gmail.com/ ccrr@fda.gov.ph
SUBJECT: CCRR- Request for Renewal of CCRR User Account SUBJECT: CCRR- Request for Renewal of CCRR User Account
BODY: Email Address: BODY: Email Address:
Company name: Company name:
Username: Username:
Password: Password:
Attach QPIRA Certificate/ ID or Request Letter (Annex C of FDA Attach QPIRA Certificate/ ID or Request Letter (Annex C of FDA
Memorandum Circular 2015-010 Memorandum Circular 2015-010
EPORTAL CHANGE OF AUTHORIZED REPRESENTATIVE EPORTAL CHANGE OF AUTHORIZED REPRESENTATIVE
For fdauser For fdauser
EMAIL TO: fdac@fda.gov.ph EMAIL TO: fdac@fda.gov.ph
SUBJECT: eLTO: CHANGE OF AUTHORIZED REPRESENTATIVE SUBJECT: eLTO: CHANGE OF AUTHORIZED REPRESENTATIVE
BODY: EMAIL ADDRESS: BODY: EMAIL ADDRESS:
NAME: NAME:
POSITION IN THE COMPANY: POSITION IN THE COMPANY:
CONTACT NUMBER: USERNAME: CONTACT NUMBER: USERNAME:
COMPANY NAME: PASSWORD: COMPANY NAME: PASSWORD:
*ATTACH NOTARIZED ANNEX B OF FDA CIRCULAR 2016-004* *ATTACH NOTARIZED ANNEX B OF FDA CIRCULAR 2016-004*
For CFRRUser For CFRRUser
EMAIL TO: cfrr@fda.gov.ph EMAIL TO: cfrr@fda.gov.ph
SUBJECT: CFRR - CHANGE OF AUTHORIZED REPRESENTATIVE SUBJECT: CFRR - CHANGE OF AUTHORIZED REPRESENTATIVE
BODY: COMPANY NAME: USERNAME: BODY: COMPANY NAME: USERNAME:
COMPANY REPRESENTATIVE: PASSWORD: COMPANY REPRESENTATIVE: PASSWORD:
EMAIL ADDRESS: EMAIL ADDRESS:
ATTACH AFFIDAVIT OF UNDERTAKING (NOTARIZED) ANNEX C of FDA Memorandum ATTACH AFFIDAVIT OF UNDERTAKING (NOTARIZED) ANNEX C of FDA
Circular 2016-014 Memorandum Circular 2016-014
FOR CCRRUser FOR CCRRUser
EMAIL TO: ccrraseannotification@fda.gov.ph EMAIL TO: ccrraseannotification@fda.gov.ph
SUBJECT: SUBJECT: CCRR - Request for Change in Credentials of CCRR User
CCRR - Request for Change in Credentials of CCRR User Account
Account
BODY: Name of Old Representative: BODY: Name of Old Representative:
Username: Username:
Name of New Representative: Name of New Representative:
Position: Company Name: Position: Company Name:
Email address: Company Address: Email address: Company Address:
Contact No.: Contact No.:
Product Classification: (Cosmetics/HUHS/TCCA) Product Classification: (Cosmetics/HUHS/TCCA)
Attach Cover Letter and Notarized Authorization Letter or QPIRA ID Attach Cover Letter and Notarized Authorization Letter or QPIRA ID
Reference: FDA Memorandum Circular 2015-010 Reference: FDA Memorandum Circular 2015-010
FOR fdauser (Request for CCRR eNotification Access) FOR fdauser (Request for CCRR eNotification Access)
EMAIL TO: ccrraseannotification@gmail.com/ ccrr@fda.gov.ph EMAIL TO: ccrraseannotification@gmail.com/ ccrr@fda.gov.ph
SUBJECT: CCRR: Request for eNotification Access SUBJECT: CCRR: Request for eNotification Access
BODY: Email address: BODY: Email address:
Name: Company Name: Name: Company Name:
Position: Company Address: Position: Company Address:
Contact No.: Contact No.:
Product Classification (Cosmetics/HUHS/TCCA): Product Classification (Cosmetics/HUHS/TCCA):
Username: Username:
Password: Password:
QPIRA ID or Notarized Authorization Letter (Refer to Annex A of FMC QPIRA ID or Notarized Authorization Letter (Refer to Annex A of FMC
Attachment 2015-010) (whichever is applicable) 2015-010) (whichever is applicable)
: Attachment:
FOR ccrruser/cfrruser (Request for eLTO Access) FOR ccrruser/cfrruser (Request for eLTO Access)
EMAIL TO: fdac@fda.gov.ph EMAIL TO: fdac@fda.gov.ph
SUBJECT: CFRR/CCRR: REQUEST FOR ACCOUNT REVALIDATION SUBJECT: CFRR/CCRR: REQUEST FOR ACCOUNT REVALIDATION
BODY: USERNAME: BODY: USERNAME:
PASSWORD: PASSWORD:
COMPANY NAME: COMPANY NAME:
EMAIL ADDRESS: EMAIL ADDRESS:
EPORTAL: REQUEST FOR ACCOUNT REVALIDATION EPORTAL: REQUEST FOR ACCOUNT REVALIDATION
FOR fdauser (Request for CFRR eReg Access) FOR fdauser (Request for CFRR eReg Access)
EMAIL TO: info@fda.gov.ph/ cfrr@fda.gov.ph EMAIL TO: info@fda.gov.ph/ cfrr@fda.gov.ph
SUBJECT: CFRR: e-REGISTRATION REVALIDATION SUBJECT: CFRR: e-REGISTRATION REVALIDATION
BODY: AUTHORIZED REPRESENTATIVE: BODY: AUTHORIZED REPRESENTATIVE:
COMPANY NAME: COMPANY NAME:
LTO NUMBER: USERNAME: LTO NUMBER: USERNAME:
LTO VALIDITY: PASSWORD: LTO VALIDITY: PASSWORD:
FOR fdauser (Request for CCRR eNotification Access) FOR fdauser (Request for CCRR eNotification Access)
EMAIL TO: ccrraseannotification@gmail.com/ ccrr@fda.gov.ph EMAIL TO: ccrraseannotification@gmail.com/ ccrr@fda.gov.ph
SUBJECT: CCRR: Request for eNotification Access SUBJECT: CCRR: Request for eNotification Access
BODY: Email address: BODY: Email address:
Name: Company Name: Name: Company Name:
Position: Company Address: Position: Company Address:
Contact No.: Contact No.:
Product Classification (Cosmetics/HUHS/TCCA): Product Classification (Cosmetics/HUHS/TCCA):
Username: Username:
Password: Password:
QPIRA ID or Notarized Authorization Letter (Refer to Annex A of FMC QPIRA ID or Notarized Authorization Letter (Refer to Annex A of FMC
Attachment 2015-010) (whichever is applicable) 2015-010) (whichever is applicable)
: Attachment:
FOR ccrruser/cfrruser (Request for eLTO Access) FOR ccrruser/cfrruser (Request for eLTO Access)
EMAIL TO: fdac@fda.gov.ph EMAIL TO: fdac@fda.gov.ph
SUBJECT: CFRR/CCRR: REQUEST FOR ACCOUNT REVALIDATION SUBJECT: CFRR/CCRR: REQUEST FOR ACCOUNT REVALIDATION
BODY: USERNAME: BODY: USERNAME:
PASSWORD: PASSWORD:
COMPANY NAME: COMPANY NAME:
EMAIL ADDRESS: EMAIL ADDRESS:
EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL
BODY: Case no. of any of your application to FDA: BODY: Case no. of any of your application to FDA:
LTO No.: LTO No.:
Email address previously used to request for the Email address previously used to request for the
ePortal Account: ePortal Account:
Name of previous representative/person who first Name of previous representative/person who first
requested the ePortal User Account: requested the ePortal User Account:
***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized ***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized
Officer*** Officer***
EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL
BODY: Case no. of any of your application to FDA: BODY: Case no. of any of your application to FDA:
LTO No.: LTO No.:
Email address previously used to request for the Email address previously used to request for the
ePortal Account: ePortal Account:
Name of previous representative/person who first Name of previous representative/person who first
requested the ePortal User Account: requested the ePortal User Account:
***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized ***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized
Officer*** Officer***
EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL
FOR fdauser: FOR fdauser:
Please follow the format below: Please follow the format below:
EMAIL TO: fdac@fda.gov.ph EMAIL TO: fdac@fda.gov.ph
SUBJECT: eLTO: Request for Account Retrieval SUBJECT: eLTO: Request for Account Retrieval
BODY: Case no. of any of your application to FDA: BODY: Case no. of any of your application to FDA:
LTO No.: LTO No.:
Email address previously used to request for the Email address previously used to request for the
ePortal Account: ePortal Account:
Name of previous representative/person who first Name of previous representative/person who first
requested the ePortal User Account: requested the ePortal User Account:
***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized ***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized
Officer*** Officer***
EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL EPORTAL: REQUEST FOR ACCOUNT RETRIEVAL
Email address previously used to request for the Email address previously used to request for the
ePortal Account: ePortal Account:
Name of previous representative/person who first Name of previous representative/person who first
requested the ePortal User Account: requested the ePortal User Account:
***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized ***Attach Request Letter signed by the Owner/ President/ CEO/ Authorized
Officer*** Officer***