Regulations for Registration of Medicinal Products Article 19

Assurance Statements (A) and (B) attached to the application form should include the company name, address, person in charge and the date of signature. The information should be confirmed by using the same signets or stamps as those for the application form. In the situation of toll-manufacturing, assurance statements from both the appointer and the appointee are required.
中文原文 藥品查驗登記審查準則第19條
申請書表所附之切結書(甲)及切結書(乙),填寫時應載明具切結商號名稱、地址、負責人姓名及切結日期,並均加蓋與申請書相同之印章。
如係委託製造,委託者與受託廠均應具名切結。

English translation for reference only; the Chinese text prevails. Not legal advice.