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01. Edit your fda form online

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02. Sign it in a few clicks

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Send qpira via email, link, or fax. You can also download it, export it or print it out.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal data. Fill in your first name, middle initial, and last name, followed by your home address, email, and telephone number. Ensure all fields are completed as they are mandatory.
Next, provide your birthdate and gender. Select 'Male' or 'Female' as applicable.
In the Professional Background section, input your company name and address along with your department/division and date of employment. Specify the industry you work in by selecting one from the dropdown menu.
For QPIRA applicants, detail your length of experience as a Regulatory Affairs Officer. If you have worked for multiple companies, include this information in the body of the email when submitting the form.
Select the type of course you wish to register for from the provided options.
Finally, review the terms and conditions carefully. Confirm your understanding by checking the box before submitting your completed registration form via email to e-nroll@fda.gov.ph.

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