UDI Declaration Form

Declaration for GS1 New Zealand members in relation to selling (or intending to sell) medical devices on the U.S. market.

Search for your company using the NZBN register to auto-fill details.

Search by Company Name (or NZBN)

First name *

Surname *

Job title *

Email address *

Phone number *

Are you currently selling or intending to sell medical devices on the U.S. market? *

I declare that the information provided in this form is true and correct to the best of my knowledge. *