SlideShare a Scribd company logo
1 of 26
Download to read offline
Case Studies
Obaid Ali
Civil Service Officer, Member, ISPE, PDA
26 March 2017
Not the
view of
DRAP
Current
judgment
No
obligation
on DRAP
Regulatory
experience
D
I
S
C
L
A
I
M
E
R
References US-FDA WHO ICH NRAs
Case
Study 1
Lets have a look at
Real Cases
From the personal
experience
A very famous product
Everybody knows about it
Millions of capsules/week manufactured since
years and years
Stability failed
100’s of batches recalled
Factory shut down for years
Several people lost their jobs
Corporate could not sustain
Source of gelatin was changed
Assessment was weak
Change impact was not appropriately studied
Stability program was weak
Inspector asked to perform disintegration
test of capsule manufactured a year before
A month old batch found not qualified for
disintegration test
Failed
Failed
Failed Failed Failed
Characterization of Gelatin is very difficult
Because it is from natural source
Storage, Transportation and its Handling require narrow
control range for humidity & temperature
A lot of variation potential
Lets Understand Gelatin
Case
Study 2
Fluocinonide Cream 0.05% (36 month shelf life)1
24 Lots
21 Lots Complied
3 lots failed
SD RSD
T
M
B
6%
Fluocinonide Cream 0.05% (36 month shelf life)1
6% Uniformity
?
Fluocinonide Cream 0.05% (36 month shelf life)1
Fluocinonide Cream 0.05% (36 month shelf life)1
3 6
9 12
15 18
21 24 27 30 33 36
Tube
Uniformity
failed
T
M
B
Important
characteristic
failed
Fluocinonide Cream 0.05% (36 month shelf life)1
Shelf life
determination is
not correct
Is it not correct to suggest that
Stability Program is Deficient
Lets keep catching and walking
together with clarity
Commitment on 3 month data
Can a generic product filed with 3 month data and
committed to provide 6 month data in future be accepted?
No, 6 month stability data is
required
Decommissioning of Commissioning
How long do pilot scale batches need to be stored before
they can be destroyed?
At least one year after approval
Manual Operations
Can small scale batches be packed by hand?
No, always avoid doing
anything which is critical in
process by hand
Math with other Science
Can mix and match approach be applied, for e.g. one
batch at 6 month and 2 batches at 3 month
No, not at all
Use math with clear understanding

More Related Content

Viewers also liked

3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...
3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...
3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...Obaid Ali / Roohi B. Obaid
 
Potential Common GMP Observations and its Establishment
Potential Common GMP Observations and its Establishment Potential Common GMP Observations and its Establishment
Potential Common GMP Observations and its Establishment Obaid Ali / Roohi B. Obaid
 
Draft Guidance on Physical Attributes of Tabs & Caps
Draft Guidance on Physical Attributes of Tabs & CapsDraft Guidance on Physical Attributes of Tabs & Caps
Draft Guidance on Physical Attributes of Tabs & CapsObaid Ali / Roohi B. Obaid
 
Draft Policy on Quality System as an Integrated Policy
Draft Policy on Quality System as an Integrated PolicyDraft Policy on Quality System as an Integrated Policy
Draft Policy on Quality System as an Integrated PolicyObaid Ali / Roohi B. Obaid
 
Panorama Geral dos Setores de Energia e Mineração
Panorama Geral dos Setores de Energia e MineraçãoPanorama Geral dos Setores de Energia e Mineração
Panorama Geral dos Setores de Energia e Mineraçãoascommme
 
Hardware and Software Considerations for Schools
Hardware and Software Considerations for SchoolsHardware and Software Considerations for Schools
Hardware and Software Considerations for SchoolsDana L. Miller
 
Prioridades do MME
Prioridades do MME Prioridades do MME
Prioridades do MME ascommme
 
2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorld
2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorld2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorld
2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorldIDATE DigiWorld
 
Jignesh ich
Jignesh ichJignesh ich
Jignesh ichjigs2163
 
Capítulo 2
Capítulo 2   Capítulo 2
Capítulo 2 vglibota
 
Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...
Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...
Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...Obaid Ali / Roohi B. Obaid
 

Viewers also liked (20)

1 OA ICH Background
1 OA ICH Background1 OA ICH Background
1 OA ICH Background
 
3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...
3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...
3 ROOA (Cross Pollination of Misconceptions related to Stability Studies and ...
 
2 OARO (ICH Q1 A to F)
2 OARO (ICH Q1 A to F)2 OARO (ICH Q1 A to F)
2 OARO (ICH Q1 A to F)
 
Testing is not the answer
Testing is not the answerTesting is not the answer
Testing is not the answer
 
Potential Common GMP Observations and its Establishment
Potential Common GMP Observations and its Establishment Potential Common GMP Observations and its Establishment
Potential Common GMP Observations and its Establishment
 
Draft Policy on Brand Name Analysis
Draft Policy on Brand Name AnalysisDraft Policy on Brand Name Analysis
Draft Policy on Brand Name Analysis
 
Draft Guidance on Physical Attributes of Tabs & Caps
Draft Guidance on Physical Attributes of Tabs & CapsDraft Guidance on Physical Attributes of Tabs & Caps
Draft Guidance on Physical Attributes of Tabs & Caps
 
Drug Safety Alert 6 Acetaminophen
Drug Safety Alert 6 AcetaminophenDrug Safety Alert 6 Acetaminophen
Drug Safety Alert 6 Acetaminophen
 
Draft Policy on Quality System as an Integrated Policy
Draft Policy on Quality System as an Integrated PolicyDraft Policy on Quality System as an Integrated Policy
Draft Policy on Quality System as an Integrated Policy
 
Drug Safety Alert 5 Ketoconazole
Drug Safety Alert 5 KetoconazoleDrug Safety Alert 5 Ketoconazole
Drug Safety Alert 5 Ketoconazole
 
Drug Safety Alert 2 Azithromycin
Drug Safety Alert 2 AzithromycinDrug Safety Alert 2 Azithromycin
Drug Safety Alert 2 Azithromycin
 
Panorama Geral dos Setores de Energia e Mineração
Panorama Geral dos Setores de Energia e MineraçãoPanorama Geral dos Setores de Energia e Mineração
Panorama Geral dos Setores de Energia e Mineração
 
Hardware and Software Considerations for Schools
Hardware and Software Considerations for SchoolsHardware and Software Considerations for Schools
Hardware and Software Considerations for Schools
 
Prioridades do MME
Prioridades do MME Prioridades do MME
Prioridades do MME
 
2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorld
2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorld2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorld
2017 FTTH Panorama LATAM - Roland Montagne - IDATE DigiWorld
 
Jignesh ich
Jignesh ichJignesh ich
Jignesh ich
 
Capítulo 2
Capítulo 2   Capítulo 2
Capítulo 2
 
Ich
Ich Ich
Ich
 
Dissolution & Alternate Analytical Method
Dissolution & Alternate Analytical MethodDissolution & Alternate Analytical Method
Dissolution & Alternate Analytical Method
 
Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...
Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...
Generic Drugs; Comparative Dissolution Profile & Discriminative Method for Di...
 

Similar to 7 OARO - ICH (From Operational Site)

Dry powder, Meter dose and Nebulizer inhaler
Dry powder, Meter dose and Nebulizer inhalerDry powder, Meter dose and Nebulizer inhaler
Dry powder, Meter dose and Nebulizer inhalerYogesh Chaudhari
 
Stability studies during different stages of drug and product development.pptx
Stability studies during different stages of drug and product development.pptxStability studies during different stages of drug and product development.pptx
Stability studies during different stages of drug and product development.pptxParimal Hadge
 
David sless cri medicine labelling @ arcs 2015
David sless cri medicine labelling @ arcs 2015David sless cri medicine labelling @ arcs 2015
David sless cri medicine labelling @ arcs 2015David Sless
 
Journal reading: Randomized, placebo-controlled, double-blind study of oral t...
Journal reading: Randomized, placebo-controlled, double-blind study of oral t...Journal reading: Randomized, placebo-controlled, double-blind study of oral t...
Journal reading: Randomized, placebo-controlled, double-blind study of oral t...Chu-Feng Wu
 
Q1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTS
Q1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTSQ1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTS
Q1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTSBhaumik Bavishi
 
Ich guidelines for stability studies 2
Ich guidelines for stability studies 2Ich guidelines for stability studies 2
Ich guidelines for stability studies 2priyanka odela
 
Stability testing
Stability testingStability testing
Stability testingGaurav Kr
 
Wrangle 2016: Driving Healthcare Operations with Small Data
Wrangle 2016: Driving Healthcare Operations with Small DataWrangle 2016: Driving Healthcare Operations with Small Data
Wrangle 2016: Driving Healthcare Operations with Small DataWrangleConf
 
Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)
Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)
Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)Obaid Ali / Roohi B. Obaid
 
2-5%20FPP%20stability%202012-Hua.ppt
2-5%20FPP%20stability%202012-Hua.ppt2-5%20FPP%20stability%202012-Hua.ppt
2-5%20FPP%20stability%202012-Hua.pptMohamad Mukharir
 

Similar to 7 OARO - ICH (From Operational Site) (20)

Dry powder, Meter dose and Nebulizer inhaler
Dry powder, Meter dose and Nebulizer inhalerDry powder, Meter dose and Nebulizer inhaler
Dry powder, Meter dose and Nebulizer inhaler
 
ICH Stability testing of new drug substances and products QA (R2) - 2015
ICH Stability testing of new drug substances and products QA (R2) - 2015ICH Stability testing of new drug substances and products QA (R2) - 2015
ICH Stability testing of new drug substances and products QA (R2) - 2015
 
Stability testing for drug products
Stability testing for drug productsStability testing for drug products
Stability testing for drug products
 
Stability study
Stability studyStability study
Stability study
 
ICH guidlines.pptx
ICH  guidlines.pptxICH  guidlines.pptx
ICH guidlines.pptx
 
Stability studies during different stages of drug and product development.pptx
Stability studies during different stages of drug and product development.pptxStability studies during different stages of drug and product development.pptx
Stability studies during different stages of drug and product development.pptx
 
David sless cri medicine labelling @ arcs 2015
David sless cri medicine labelling @ arcs 2015David sless cri medicine labelling @ arcs 2015
David sless cri medicine labelling @ arcs 2015
 
Journal reading: Randomized, placebo-controlled, double-blind study of oral t...
Journal reading: Randomized, placebo-controlled, double-blind study of oral t...Journal reading: Randomized, placebo-controlled, double-blind study of oral t...
Journal reading: Randomized, placebo-controlled, double-blind study of oral t...
 
Q1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTS
Q1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTSQ1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTS
Q1A(R2): STABILITY TESTING OF NEW DRUG SUBSTANCES AND PRODUCTS
 
Stability Studies
Stability StudiesStability Studies
Stability Studies
 
Stability studies
Stability studiesStability studies
Stability studies
 
Ich guidelines for stability studies 2
Ich guidelines for stability studies 2Ich guidelines for stability studies 2
Ich guidelines for stability studies 2
 
QMS stability testing.pptx
QMS  stability testing.pptxQMS  stability testing.pptx
QMS stability testing.pptx
 
PQRS-CCK (ICH- Q1) March 2017
PQRS-CCK (ICH- Q1) March 2017PQRS-CCK (ICH- Q1) March 2017
PQRS-CCK (ICH- Q1) March 2017
 
Stability testing
Stability testingStability testing
Stability testing
 
Wrangle 2016: Driving Healthcare Operations with Small Data
Wrangle 2016: Driving Healthcare Operations with Small DataWrangle 2016: Driving Healthcare Operations with Small Data
Wrangle 2016: Driving Healthcare Operations with Small Data
 
Dashboard Review; An Outline 2017
Dashboard Review; An Outline 2017Dashboard Review; An Outline 2017
Dashboard Review; An Outline 2017
 
Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)
Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)
Change Management in Pharmaeutical Manufacturing Operations (Full Day Session)
 
Qualityassurancecontrolinpharmaindustry
QualityassurancecontrolinpharmaindustryQualityassurancecontrolinpharmaindustry
Qualityassurancecontrolinpharmaindustry
 
2-5%20FPP%20stability%202012-Hua.ppt
2-5%20FPP%20stability%202012-Hua.ppt2-5%20FPP%20stability%202012-Hua.ppt
2-5%20FPP%20stability%202012-Hua.ppt
 

More from Obaid Ali / Roohi B. Obaid

A Strategic Talk on Biologicals & Biotechnological Products
A Strategic Talk on Biologicals & Biotechnological ProductsA Strategic Talk on Biologicals & Biotechnological Products
A Strategic Talk on Biologicals & Biotechnological ProductsObaid Ali / Roohi B. Obaid
 
Centre for Quality Sciences-Information File-2024.pdf
Centre for Quality Sciences-Information File-2024.pdfCentre for Quality Sciences-Information File-2024.pdf
Centre for Quality Sciences-Information File-2024.pdfObaid Ali / Roohi B. Obaid
 
Demonstrate your QMS during Inspection-30 Sep 2023.pdf
Demonstrate your QMS during Inspection-30 Sep 2023.pdfDemonstrate your QMS during Inspection-30 Sep 2023.pdf
Demonstrate your QMS during Inspection-30 Sep 2023.pdfObaid Ali / Roohi B. Obaid
 
Track, Trace & Understand Science of Life from Real World Evidence.pdf
Track, Trace & Understand Science of Life from Real World Evidence.pdfTrack, Trace & Understand Science of Life from Real World Evidence.pdf
Track, Trace & Understand Science of Life from Real World Evidence.pdfObaid Ali / Roohi B. Obaid
 
120th Training Session - Unfortunate Wave of DEG Tragedy.pdf
120th Training Session - Unfortunate Wave of DEG Tragedy.pdf120th Training Session - Unfortunate Wave of DEG Tragedy.pdf
120th Training Session - Unfortunate Wave of DEG Tragedy.pdfObaid Ali / Roohi B. Obaid
 
Judging Science & Prior Knowledge Beyond the Line
Judging Science & Prior Knowledge Beyond the LineJudging Science & Prior Knowledge Beyond the Line
Judging Science & Prior Knowledge Beyond the LineObaid Ali / Roohi B. Obaid
 

More from Obaid Ali / Roohi B. Obaid (20)

A Strategic Talk on Biologicals & Biotechnological Products
A Strategic Talk on Biologicals & Biotechnological ProductsA Strategic Talk on Biologicals & Biotechnological Products
A Strategic Talk on Biologicals & Biotechnological Products
 
Centre for Quality Sciences-Information File-2024.pdf
Centre for Quality Sciences-Information File-2024.pdfCentre for Quality Sciences-Information File-2024.pdf
Centre for Quality Sciences-Information File-2024.pdf
 
A Tragic Resistance to Learn.pdf
A Tragic Resistance to Learn.pdfA Tragic Resistance to Learn.pdf
A Tragic Resistance to Learn.pdf
 
230930.pdf
230930.pdf230930.pdf
230930.pdf
 
Demonstrate your QMS during Inspection-30 Sep 2023.pdf
Demonstrate your QMS during Inspection-30 Sep 2023.pdfDemonstrate your QMS during Inspection-30 Sep 2023.pdf
Demonstrate your QMS during Inspection-30 Sep 2023.pdf
 
Centre for Quality Sciences-2023
Centre for Quality Sciences-2023Centre for Quality Sciences-2023
Centre for Quality Sciences-2023
 
Track, Trace & Understand Science of Life from Real World Evidence.pdf
Track, Trace & Understand Science of Life from Real World Evidence.pdfTrack, Trace & Understand Science of Life from Real World Evidence.pdf
Track, Trace & Understand Science of Life from Real World Evidence.pdf
 
Confidence on Generics.pdf
Confidence on Generics.pdfConfidence on Generics.pdf
Confidence on Generics.pdf
 
Neurotoxicity & Neurodegenaration.pdf
Neurotoxicity & Neurodegenaration.pdfNeurotoxicity & Neurodegenaration.pdf
Neurotoxicity & Neurodegenaration.pdf
 
Application of Data & AI in Pharma 4
Application of Data & AI in Pharma 4Application of Data & AI in Pharma 4
Application of Data & AI in Pharma 4
 
PICS-ICH
PICS-ICHPICS-ICH
PICS-ICH
 
Quality Affairs of Pharmaceuticals
Quality Affairs of PharmaceuticalsQuality Affairs of Pharmaceuticals
Quality Affairs of Pharmaceuticals
 
120th Training Session - Unfortunate Wave of DEG Tragedy.pdf
120th Training Session - Unfortunate Wave of DEG Tragedy.pdf120th Training Session - Unfortunate Wave of DEG Tragedy.pdf
120th Training Session - Unfortunate Wave of DEG Tragedy.pdf
 
CQS Session - RO - 16 Oct 2022.pdf
CQS Session - RO - 16 Oct 2022.pdfCQS Session - RO - 16 Oct 2022.pdf
CQS Session - RO - 16 Oct 2022.pdf
 
GMP Session for Professional Development.pdf
GMP Session for Professional Development.pdfGMP Session for Professional Development.pdf
GMP Session for Professional Development.pdf
 
Q & A - June - Sep 2022.pdf
Q & A - June - Sep 2022.pdfQ & A - June - Sep 2022.pdf
Q & A - June - Sep 2022.pdf
 
Judging Science & Prior Knowledge Beyond the Line
Judging Science & Prior Knowledge Beyond the LineJudging Science & Prior Knowledge Beyond the Line
Judging Science & Prior Knowledge Beyond the Line
 
Maturing Drug Quality to Deliver Promise
Maturing Drug Quality to Deliver PromiseMaturing Drug Quality to Deliver Promise
Maturing Drug Quality to Deliver Promise
 
PQRS 2022 - Education
PQRS  2022 - EducationPQRS  2022 - Education
PQRS 2022 - Education
 
4 - GMP June 2022 - CQS.pdf
4 - GMP June 2022 - CQS.pdf4 - GMP June 2022 - CQS.pdf
4 - GMP June 2022 - CQS.pdf
 

Recently uploaded

Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...
Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...
Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...Pooja Nehwal
 
{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, Mumbai
{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, Mumbai{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, Mumbai
{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, MumbaiPooja Nehwal
 
operational plan ppt.pptx nursing management
operational plan ppt.pptx nursing managementoperational plan ppt.pptx nursing management
operational plan ppt.pptx nursing managementTulsiDhidhi1
 
VIP Kolkata Call Girl Rajarhat 👉 8250192130 Available With Room
VIP Kolkata Call Girl Rajarhat 👉 8250192130  Available With RoomVIP Kolkata Call Girl Rajarhat 👉 8250192130  Available With Room
VIP Kolkata Call Girl Rajarhat 👉 8250192130 Available With Roomdivyansh0kumar0
 
Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...
Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...
Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...Pooja Nehwal
 
CEO of Google, Sunder Pichai's biography
CEO of Google, Sunder Pichai's biographyCEO of Google, Sunder Pichai's biography
CEO of Google, Sunder Pichai's biographyHafizMuhammadAbdulla5
 
CALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual serviceCALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual serviceanilsa9823
 
internal analysis on strategic management
internal analysis on strategic managementinternal analysis on strategic management
internal analysis on strategic managementharfimakarim
 
VIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call GirlVIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call Girladitipandeya
 
VIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call GirlVIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call Girladitipandeya
 

Recently uploaded (20)

Rohini Sector 16 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 16 Call Girls Delhi 9999965857 @Sabina Saikh No AdvanceRohini Sector 16 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 16 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
 
Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...
Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...
Call now : 9892124323 Nalasopara Beautiful Call Girls Vasai virar Best Call G...
 
Call Girls Service Tilak Nagar @9999965857 Delhi 🫦 No Advance VVIP 🍎 SERVICE
Call Girls Service Tilak Nagar @9999965857 Delhi 🫦 No Advance  VVIP 🍎 SERVICECall Girls Service Tilak Nagar @9999965857 Delhi 🫦 No Advance  VVIP 🍎 SERVICE
Call Girls Service Tilak Nagar @9999965857 Delhi 🫦 No Advance VVIP 🍎 SERVICE
 
{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, Mumbai
{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, Mumbai{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, Mumbai
{ 9892124323 }} Call Girls & Escorts in Hotel JW Marriott juhu, Mumbai
 
Empowering Local Government Frontline Services - Mo Baines.pdf
Empowering Local Government Frontline Services - Mo Baines.pdfEmpowering Local Government Frontline Services - Mo Baines.pdf
Empowering Local Government Frontline Services - Mo Baines.pdf
 
Leadership in Crisis - Helio Vogas, Risk & Leadership Keynote Speaker
Leadership in Crisis - Helio Vogas, Risk & Leadership Keynote SpeakerLeadership in Crisis - Helio Vogas, Risk & Leadership Keynote Speaker
Leadership in Crisis - Helio Vogas, Risk & Leadership Keynote Speaker
 
operational plan ppt.pptx nursing management
operational plan ppt.pptx nursing managementoperational plan ppt.pptx nursing management
operational plan ppt.pptx nursing management
 
LoveLocalGov - Chris Twigg, Inner Circle
LoveLocalGov - Chris Twigg, Inner CircleLoveLocalGov - Chris Twigg, Inner Circle
LoveLocalGov - Chris Twigg, Inner Circle
 
Unlocking the Future - Dr Max Blumberg, Founder of Blumberg Partnership
Unlocking the Future - Dr Max Blumberg, Founder of Blumberg PartnershipUnlocking the Future - Dr Max Blumberg, Founder of Blumberg Partnership
Unlocking the Future - Dr Max Blumberg, Founder of Blumberg Partnership
 
VIP Kolkata Call Girl Rajarhat 👉 8250192130 Available With Room
VIP Kolkata Call Girl Rajarhat 👉 8250192130  Available With RoomVIP Kolkata Call Girl Rajarhat 👉 8250192130  Available With Room
VIP Kolkata Call Girl Rajarhat 👉 8250192130 Available With Room
 
Becoming an Inclusive Leader - Bernadette Thompson
Becoming an Inclusive Leader - Bernadette ThompsonBecoming an Inclusive Leader - Bernadette Thompson
Becoming an Inclusive Leader - Bernadette Thompson
 
Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...
Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...
Pooja Mehta 9167673311, Trusted Call Girls In NAVI MUMBAI Cash On Payment , V...
 
Disrupt or be Disrupted - Kirk Vallis.pdf
Disrupt or be Disrupted - Kirk Vallis.pdfDisrupt or be Disrupted - Kirk Vallis.pdf
Disrupt or be Disrupted - Kirk Vallis.pdf
 
CEO of Google, Sunder Pichai's biography
CEO of Google, Sunder Pichai's biographyCEO of Google, Sunder Pichai's biography
CEO of Google, Sunder Pichai's biography
 
Peak Performance & Resilience - Dr Dorian Dugmore
Peak Performance & Resilience - Dr Dorian DugmorePeak Performance & Resilience - Dr Dorian Dugmore
Peak Performance & Resilience - Dr Dorian Dugmore
 
CALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual serviceCALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Charbagh Lucknow best sexual service
 
internal analysis on strategic management
internal analysis on strategic managementinternal analysis on strategic management
internal analysis on strategic management
 
Imagine - Creating Healthy Workplaces - Anthony Montgomery.pdf
Imagine - Creating Healthy Workplaces - Anthony Montgomery.pdfImagine - Creating Healthy Workplaces - Anthony Montgomery.pdf
Imagine - Creating Healthy Workplaces - Anthony Montgomery.pdf
 
VIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call GirlVIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Ameerpet high-profile Call Girl
 
VIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call GirlVIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call Girl
VIP 7001035870 Find & Meet Hyderabad Call Girls Kondapur high-profile Call Girl
 

7 OARO - ICH (From Operational Site)