Application Form

On receipt of a completed application form, an assessment will be made to confirm that the laboratory is conducting work to which GCLP is applicable. If so, the laboratory will be accepted onto the scheme and will be notified of this, in writing. At the same time, an accreditation agreement will be sent with details of the accreditation service to be provided and the associated fees.

Company/Laboratory details

Check box if same as above

Contact person’s details

Laboratory contact person for audits
Contact person for invoicing

Type of work

Mark the activities performed by the laboratory
Receive clinical trial samples
Analyse clinical trial samples
Store clinical trial samples
If yes, was selected for analysis of clinical trial samples. Please provide a summary of the type(s) of analysis together with an estimation of sample volumes

Description of laboratory

Other information

Declaration

Do you agree to allow your laboratory’s name and location to be displayed in a dropdown list on our website, along with other laboratories to showcase your GCLP accreditation status?

Signature of applicant

I attest to the accuracy of the information provided in the application

E-signature:
Max. file size: 5 MB.
Disclaimer: Pharmalys Ltd respects your right to privacy and therefore aims to ensure that we comply with the legal requirements of the GDPR Act which regulates the way we collect, process, store, share and destroy any personal/company information which you have provided to us.