Schedule-5
(Relating to Sub-rule (1) of Rule 7)
Date:-………………………
The Breastfeeding Protection and Promotion Committee,
…………………………………………………
Sir,
I/we have made this application to obtain approval of that committee on the
label of the following product.
(a) Name of manufacturer or distributor:
(b) Address:
(c) Name of product:
(d) Whether the certification of product label has been obtained or not:
(e) If certification has been so obtained, date thereof:
Applicant’s:
Signature:
Name:
Designation: