Schedule-4
(Relating to Sub-rule (1) of Rule 6)
Date:-……………………..
The Breastfeeding Protection and Promotion Committee,
……………………………………………
Sir,
As I/we need certification of the following product, I/we have made this
application, accompanied by the sample of product and necessary fees, for certification of
that product.
(a) Name of manufacturer or distributor:
(b) Address:
(c) Name of product:
(d) Means of product:
(e) Analysis and composition of product:
(f) Whether the product’s label has been approved or not:
(g) If so approved, date thereof:
Applicant’s:
Signature:
Name:
Designation: