1. Authorisation Number

:

UP/I-530-01/14-01/59; 381-13-04/162-15-04

2. Name of Authorisation Holder

:

NATURPRODUKT d.o.o. za trgovinu

3. Address(es) of Site(s)

:

Franje Lučića 23, Zagreb, 10090, Croatia 

4. Legally registered address of Authorisation Holder

:

Franje Lučića 23, Zagreb, 10000, Croatia

5. Scope of authorisation

:

ANNEX 1

6. Legal basis of authorisation

:

7. Name of responsible officer of the competent authority of the member state granting the wholesale distribution authorisation

:

Confidential, Confidential

8. Signature

:

9. Date

:

2015-04-01

10. Annexes attached

:

Annex 1 Scope of wholesale distribution authorisation

Annex 2 (Optional) Address(es) of contract wholesale distribution sites and their authorisation number

Annex 3 (Optional) Name(s) of responsible person(s)

Annex 4 (Optional) Date of Inspection on which authorisation was granted

Annex 5 (Optional) Additional provisions based on national requirements

Name and address of the site: NATURPRODUKT d.o.o.

, Franje Lučića 23, Zagreb, 10090, Croatia   

Reason for Withdrawing:

WDA has been superseded by a new document.

Union Format for a Wholesale Distribution Authorisation

UP/I-530-01/14-01/59; 381-13-04/162-15-04

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