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EN 16636 Pest Management Services Certification Application Form

INFORMATION AND CONTACT DETAILS

Thank you for choosing MCCAA to provide you with this service. Kindly complete this application form and should you have any queries in completing it, contact us on (+356) 2395 2000 or via email on [email protected]

On receipt of the completed application form, the Standards and Metrology Institute (SMI) of the MCCAA will contact you to provide further information and a quote for service.

ORGANISATION DETAILS
(This question is mandatory)
Are you a returning user? (In accordance with the 'Once-Only' Principle)

A 'returning user' is one who has at least filled in this form once, from the 10th 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)
Organisation name
(This question is mandatory)
Registration address
(This question is mandatory)
Telephone no.
Mobile no.
(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)
Website address
(This question is mandatory)
Contact person
(This question is mandatory)
State your VAT registration no.
(This question is mandatory)
Type of industry
(This question is mandatory)
Main activities
ORGANISATION LEGAL STATUS
(This question is mandatory)
Organisation type
(This question is mandatory)
State your company registration no. (in the case of 'Sole Trader', please provide the ID number)
(This question is mandatory)
Is your company part of a group or Corporation?
If 'yes' fill in the following details
ORGANISATION PEST CONTROL PROFILE
(This question is mandatory)
Does your organisation have an appointed Technical Manager who is competent in designing and developing pest management plans?
(This question is mandatory)
Does your organisation have a documented flowchart that shows the process from clients' requests for services up to completion of service or routine services?
(This question is mandatory)
Does your organisation maintain records of site assessments, infestation assessments and clients' legal requirements assessments?
(This question is mandatory)
Does your organisation maintain service records that include information on applied dosage?
(This question is mandatory)
Does your organisation maintain a stock inventory on chemicals stored and used?
(This question is mandatory)
Does your organisation maintain MSDs of all the chemicals used?
(This question is mandatory)
Are the organisation's activities covered by an Insurance Policy?
CERTIFICATION DETAILS
(This question is mandatory)
Certification required (mark as appropriate)
If 'transfer of certification', please indicate your current certification body
(This question is mandatory)
Type of management system
In case of 'integrated' or 'joint' management systems, state the other standard(s) being used
(This question is mandatory)
Number of sites involved within the scope of certification
If more than one site, please provide the site addresses (sites include warehousing)
Separate each address using a semi-colon (;)
(This question is mandatory)
When will the organisation be ready for certification audit?
Open the date time chooser
DECLARATIONS
(This question is mandatory)
Content Declaration
(This question is mandatory)
Data Protection Declaration