Share

Summary Report of Approved Transactions on Controlled Precursors and Essential Chemicals/Mixtures

PDEA report summary form for approved transactions on controlled precursors and essential chemicals/mixtures

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DDB IDADIN Form 5-06
Name of Company
Address
P-License Number

Republic of the Philippines
Office of the President
DANGEROUS DRUGS BOARD
3/F, DDB-PDEA Bldg, NIA Northsite Road, National Government Center
Brgy Pinyahan, Quezon City
Summary of Approved Transactions on Controlled Precursors and Essential Chemicals/Mixtures
(To be submitted by importers/exporters/manufacturers/distributors of CPECs/ Mixtures)
For the period covering from _____________ to ____________

Name of CPECs /
CPECs Mixtures
& its purity/concentration*

Beg.
Balance Imported

Quantity Received
Locally
Manufactured
Purchased

(A)

Others

Total
Quantity
Received
(B)

Name of
Supplier/ Exported
Sold to
Sold to
Country (Country of Distributors End-users
of Origin destination)

* purity is the percentage content of drug in the sample material.
concentration is the amount of a substance, express in mass or molar unit, in a unit volume of fluid.

CERTIFIED TRUE AND CORRECT:

Printed Name/Signature
of Authorized Company Officer

Quantity Disposed
Total
End
Used
Surrendered to Destroyed w/ prior
Others
Quantity Balance
for
PDEA
approval from
(e.g. loss) Disposed
manufacture of
PDEA & witnessed (give details)
(C)
(A+B-C)
other preparations
by PDEA Officers*
 
Page of
Share