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Medical devices economic operator – registration form
Fields marked with an asterisk (*) are mandatory.
Organisation details
Contact details
Details of device types
Terms & conditions
Preview & submit
Organisation details
Name of economic operator/organisation
*
*
Type of organisation
*
Custom-made manufacturer (class I, class IIa and class IIb devices only)
Distributor
Health Institution
Manufacturing facility/site
Address line 1
*
*
Address line 2
*
Address line 3
*
City
*
*
County
*
Armagh
Antrim
Carlow
Cavan
Clare
Cork
Derry
Donegal
Down
Dublin
Fermanagh
Galway
Kerry
Kildare
Kilkenny
Laois
Leitrim
Limerick
Longford
Louth
Mayo
Meath
Monaghan
Offaly
Roscommon
Sligo
Tipperary
Tyrone
Waterford
Westmeath
Wexford
Wicklow
Eircode
*
*
Organisation size
*
Less than 5 employees
Between 5 and 15 employees
Between 16 and 49 employees
Between 50 and 99 employees
Between 100 and 150 employees
Greater than 150 employees
Turnover
*
Less than €500,00
Between €500,000 and €3 million
Between €3 million and €15 million
Greater than €15 million
Companies registrations office (CRO) number
*
*
Vat number
*
*
EORI number
*
Are you registering under MDR?
*
Yes
No
Are you registering under IVDR?
*
Yes
No