FDA Registration

EXIM Trade Options > FDA Registration

1. What types of products does your company handle?
- Drugs
- Cosmetics
- Medical Devices
- Other FDA-Regulated Products
- Food, Beverages, or Dietary Supplements
2. Contact information
Legal Company Name Contact Name Mobile Number Email Phone
3. Does your facility currently have a valid U.S. FDA Registration Number?
- Yes
- No
4. Provide facility information for Your Company.
- Limited
- Limited by Guarantee (LTD)
- Public Limited Company (PLC)
- Unlimited (ULTD)
Facility/Street Address
Street Address City State / Province / Region Country
• Is your facility Address same as your mailing address?
- Yes
- No
5. Is this facility a subsidiary of a parent company? A parent company is a company that owns more than 50% of the shares of a subsidiary
- Yes
- No
6. Enter any trade names this facility operates under
7. Provide information for the facility's emergency contact.
Contact Name Job Title E-mail Phone
8. This facility handles food for
- Additives or Other Ingredients Used for Processing
- Beverage Bases
- Cereal
- Cheese or Cheese Products
- Dietary Supplements
- Fishery or sea food products
- Chocolate and Cocoa Products
- Fruit or Fruit Products
- Nuts or edible Seed Products
- Snack food products
- Egg Products
- Raw Agricultural Commodities
- Whole Grains, Milled Grain Products (Flours), Starch
- Vegetable and Vegetable Products
Food Consumption please choose from the following;
• Animal Consumption
- Botanicals and Herbs
- Animal Protein Products
- Chemical Preservatives
- Fats and Oil Fermentation Products
- Milk Products
- Mixed Feed (e.g. Poultry, Livestock, Equine)
- Vitamins and Vitamins Products
- Yeast Products
- Human Food By-Products Not Otherwise Listed
- Grain or Grain Products
- Processed Animal Waste Products
NOTE: PLEASE CLEARLY LIST YOUR PRODUCTS IF THEY ARE NOT ON THIS LIST ABOVE.
I confirm that the information provided by me is true, correct and complete.*

FDA Registration

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Legal Company Name	Contact Name	Mobile Number	Email	Phone

Contact Name	Job Title	E-mail	Phone