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QWPCDRRHR/LRD02 Annex 04 Rev. No. 05 Date Effective: 18 October 2017APPLICATION FORM FOR THE INITIAL REGISTRATION OF MEDICAL DEVICE/IN VITRO DIAGNOSTIC DEVICE ENG. BAY ANI C. SAN JUAN, M.Sc., MESA,
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Obtain the revocation of authorization form from the relevant organization or institution.
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Read and understand the instructions provided on the form.
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Fill out the form with your personal details including name, address, and contact information.
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Provide details of the authorization being revoked, such as the date it was given and to whom.
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Sign and date the form to confirm your revocation of authorization.
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Submit the completed form to the appropriate authority as specified in the instructions.

Who needs revocation of authorization of?

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Individuals who have previously granted authorization to an organization or institution and wish to revoke that authorization.
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Revocation of authorization is the act of canceling or withdrawing permission previously granted to someone or something.
The party who originally granted the authorization is typically required to file the revocation of authorization.
The revocation of authorization can usually be filled out by submitting a formal written request or form to the appropriate authority or individual.
The purpose of revocation of authorization is to officially terminate or withdraw permission that was previously granted.
The revocation of authorization typically requires details about the parties involved, the original authorization granted, and the reason for revocation.
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