End-User - Onboarding Application for Pharmacies

Onboarding Application

for Pharmacies

This End-User application form is to be used by Pharmacies, to commence the MaMVS Onboarding process.

Unless the Pharmacy undertakes the onboarding process by completing the below form and submitting the requested information for assessment and approval by MaMVO, the End-User will not be granted connectivity to the Malta Medicines Verification System.

Company / Organisation Name

Organisation Type

Street Address

City / Town

Post Code

Country

License / Registration NumberAs issued by the Malta Medicines Authority or respective foreign entity

VAT Number

Have any IT solutions for the adherence of the Falsified Medicines Directive already been been reviewed?

Do you need any information on MaMVO Certified solutions?

Has an IT solution for the adherence of the Falsified Medicines Directive already been selected for implementation?

IT Solution Details

Kindly provide your IT solution provider details.

Company Name

Street Address

City / Town

Post Code

Country

Name

Surname

Phone

Mobile

As part of the initial MaMVS account setup, a set of Secret Question and Answer Pairs will be used to confirm your identity along with the unique identity key provided by the MaMVS to verify your account.

Kindly select a question from each of the categories below and provide an answer to the respective question.

Note: The selected answers are case sensitive and thus, when verifying your account, you will have to reproduced them as you supplied them to us below.

Favourites

Question

Answer

Firsts

Question

Answer

Script

Onboarding Application

IT Solution Details

Favourites

Firsts

Postal Address

Registered Address

Legal

Onboarding Application

IT Solution Details

Favourites

Firsts

Postal Address

Registered Address

Legal

Connect with Us