HPA Membership Details update 2020 HPA Member Information HPA Member Information 2020 Company Name*HPA Contact Person*Email address of contact person*Cell phone number of contact personWhat type of products does your company sell?* Category A - Orthodox Medicine Complementary Medicine Discipline Specific (DS) Complementary Medicine Health Supplements (HS) Foodstuffs Cosmetic Other You may deal in more than one of these, please pick as many as you wantWho is responsible for the licence at your company?*Responsible PharmacistResponsible PersonPlease provide name, surname and email of this person?*Does your company have a licence with SAHPRA?*YesNoIf yes, what type of SAHPRA licence do you have?If yes - what is your licence number?If yes, what is your validity date?What licence do you anticipate your company applying for? (SAHPRA)*ManufacturingImport / ExportWholesalerDistributorMarketingNot applicableDo you comply with any alternative manufacturing standards?YesNoIf yes, please select which one?ISO 22000ISO 9000HACCPAny GFSI recognized scheme e.g. BRG; FSSCOtherDo you have a Pharmacy Council Licence*YesNoSAPC licence number and validity date (if applicable)If not - will you be applying for one?YesNoOther comments