Application form for approval to use restricted representations in advertising therapeutic goods to consumers

Sections 42DE and 42DF of the Therapeutic Goods Act 1989

 Important information about the application form

Refer to the guidance 'Applying to use a restricted representation in consumer advertising', which sets out the requirements for preparing your application and provides other useful information, including advice on how long the decision is likely to take.

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  1. 1Contact Details
  2. 2Application Details
Your Details
Postal Address

Privacy Information

For general privacy information, go to Privacy on TGA website.

The TGA is collecting personal information in this application form in order to contact the applicant about their application and to consider the application. The collection of personal information from this application and/or application form is authorised under Part 5-1 of the Therapeutic Goods Act 1989.

The personal information within this application may be disclosed to the Therapeutic Goods Advertising Code Council and certain TGA Advisory Committees under section 61(8)(b) of the Therapeutic Goods Act 1989.