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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Nombre Propietario' (Owner's Name) in the designated field. Ensure that this is accurate as it identifies the responsible party.
Fill in the 'Dirección' (Address), 'Sector', 'Provincia', and 'Teléfono' (Phone) fields to provide complete contact information for the owner.
Next, input the details for the 'Nombre Director Técnico' (Technical Director's Name) along with their address and contact information, including 'No. exequátur' which is essential for verification.
Specify the name of the pharmaceutical establishment and select its type from the options provided in the form.
Indicate the 'Fecha de vencimiento Registro Sanitario' (Expiration Date of Health Registration) to ensure compliance with regulations.
Provide a reason for resignation in the 'Motivo de renuncia' section, as this is crucial for processing your request.
Finally, ensure both the Technical Director and Owner sign and date where indicated at the bottom of the form.

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2009	4.8 Satisfied (105 Votes)

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How can I eSign my dgdf rp fo 001 from Gmail?

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