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Application Form for the Authorisation of Research and Development of a Plant Protection Product

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.
APPLICANT DETAILS
(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 22nd of July 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.

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)
Contact no.
(This question is mandatory)
Contact person
DETAILS OF PERSON RESPONSIBLE FOR R&D IN MALTA
(This question is mandatory)
Full name
(This question is mandatory)
Address
(This question is mandatory)
Email address
(This question is mandatory)
Contact no.
(This question is mandatory)
Contact person
DETAILS ON PLANT PROTECTION PRODUCT
(This question is mandatory)
Trade name / proposed trade name
(This question is mandatory)
Type of plant protection product
ACTIVE INGREDIENT 1
Content & tolerance limits of active inrgedient in %(w/w, g/l) in the technical product
1
(This question is mandatory)
Is the ownership of data on the active ingredient different from the applicant details?
(This question is mandatory)
If 'yes' please fill in the details of the owner who gave you the letter of access
(This question is mandatory)
If 'no' please specify why
ACTIVE INGREDIENT 2
(This question is mandatory)
Content & tolerance limits of active ingredient in % (w/w, g/l) in the technical product
2
(This question is mandatory)
Is the ownership of data on the active ingredient different from the applicant details?
(This question is mandatory)
If 'yes' please fill in the details of the owner who gave you the letter of access
(This question is mandatory)
If 'no' please specify why
ACTIVE INGREDIENT 3
(This question is mandatory)
Content & tolerance limits of active ingredient in % (w/w, g/l) in the technical product
3
(This question is mandatory)
Is the ownership of data on the active ingredient different from the applicant details?
(This question is mandatory)
If 'yes' please fill in the details of the owner who gave you the letter of access
(This question is mandatory)
If 'no' please specify why
RELEASE OF PRODUCT
(This question is mandatory)

Maximum quantities to be used or released during the research

PRODUCT AUTHORISATION
(This question is mandatory)
Is the product already authorised for research and development in another EU country?
If 'yes' please list the EU Member States where the product is authorised
1
2
RESEARCH
(This question is mandatory)
Trail will be held in
(This question is mandatory)
Trial details
REQUESTED DOCUMENTATION

Please ensure that all documentation below is attached to this form:

  • Letter of access of each active ingredient (in the event that the ownership of data of each active ingredient is different than the applicant data);
  • Document confirming authorisation of the research and development in other EU countries (in the case that such product is authorised in other EU countries);
  • Dossier or letter of access to the dossier which includes information regarding the chemical, physical and biological properties of the plant protection product as determined by scientifically acceptable and validated laboratory, and data with any possible effects on human or animal health or the possible impact on the environment;
  • Contingency plan in case of any contamination, release or spread of plant protection product;
  • SDS for the forumlant in accordance with Regulation 1272/2008/EC;
  • Product label.
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 € to be effected within 3 days from submission of application
(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