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Application Form for the Notification of a Biocide

FORM DETAILS

Applications will not be considered valid unless the application form is duly completed and all correct documents and correct labels have been submitted with this form. Payment has to be effected within 3 days from the submission of this form for the application to be considered valid. It is recommended that proof of payment of the applicable fees is submitted via the upload section available hereunder, otherwise the application will not be processed until payment is performed.

GENERAL INFORMATION
(This question is mandatory)
Product name
(This question is mandatory)
Product-type number
Click here for list of product-types
(This question is mandatory)
Application for
APPLICANT DETAILS (PERMANENT COMMUNITY ADDRESS)
(This question is mandatory)
Are you a returning user?

A 'returning user' is one who has at least filled in this form once, from the 28th of August 2020 onwards. If any personal or company details have changed from when you last submitted this form, the you are kindly asked to click 'No'. By clicking 'Yes', you are declaring that you have already provided your personal details in this form, and will therefore be asked for the email address only.

If you are unsure whether you are a returning user or not, you may either click 'No' or else contact the MCCAA for assistance.

(This question is mandatory)
Full name
(This question is mandatory)
Address
(This question is mandatory)
Email address
Please ensure that the email address is correct as it will be used for acknowledgement purposes and also to get in touch with you.
(This question is mandatory)
Telephone no.
Mobile no.
(This question is mandatory)
Contact person
DETAILS OF REPRESENTATIVE IN MALTA (IF APPLICABLE)
Full name
Address
Email address
Telephone no.
Mobile no.
Contact person
EU MEMBER STATE CERTIFICATION
(This question is mandatory)
Is the product authorised in another EU Member State?
If 'yes' indicate the EU Member States where the product is authorised
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ACTIVE INGREDIENTS IN THE PRODUCT

Note: Article 95 of the BPR states that as of 1 September 2015, a biocidal product consisting of, containing or generating a relevant substance, included in the Article 95 list, shall not be made available on the market unless either the substance supplier or the product supplier is included in this list for the product-type(s) to which the product belongs

Product active ingredients
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PRODUCT INFORMATION
(This question is mandatory)
This product is intended for
(This question is mandatory)
Is this product ready to use and does not need to be diluted?
Diluent type and volume (if diluted)
(This question is mandatory)
Maximum individual dose rate
(This question is mandatory)
Maximum number of applications
(This question is mandatory)
Intervals between applications
(This question is mandatory)
Method(s) of application & type of equipment
(This question is mandatory)
Recommended time of application
(This question is mandatory)
Latest time of application
(This question is mandatory)
Possible combinations with other products
REQUESTED DOCUMENTATION

Please note that in order for the form to be processed by MCCAA, all below mentioned documentation, unless stated otherwise, must be attached with this form.

  • Free sales certificate or marketing authorisation from an EU competent authority (in case that the product is marketed in another EU Member State);
  • Evidence in the form of an invoice, letter or a self-declaration form proving that the supplier is compliant with Article 95;
  • SDS of the product compliant with REACH and CLP;
  • SDSs of the hazardous substances found in the product which are compliant with REACH and CLP;
  • Copies of the product's labels, which are compliant with CLP and language labelling requirements and should indicate:
    • Identity of every active substance and its concentration;
    • Uses of the biocidal product;
    • Directions for use, frequency of application and the dose rate;
    • Category of users to which the biocidal product is restricted (professional or non-professional).
Kindly attach any relevant documents

Use this option to:

- attach any relevant supporting information as noted in the questions above.
- upload proof of payment.

PAYMENT DETAILS

Payment of:

  • €100 for new notification
  • €50 for renewal of existing notification
(This question is mandatory)
Payment method

Bank Account Details

Bank name: Bank of Valletta

IBAN number: MT14VALL22013000000040019986609

Swift code: VALLMTMT

DECLARATIONS
(This question is mandatory)
Content Declaration
(This question is mandatory)
Data Protection Declaration