Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters.

Application Form for the Authorisation of a Plant Protection Product as a CMS

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)
Trade name / Proposed trade name
(This question is mandatory)
Zonal Rapporteur Member State
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 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.

(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
ACTIVE INGREDIENT 1
(This question is mandatory)
Content & tolerance limits of active ingredient in % [w/w, g/l] in the technical product
1
(This question is mandatory)
Active ingredient classification
1
(This question is mandatory)
Is the ownership of data on the active ingredient different from the applicant details?
If 'yes' please fill in the details of the owner who gave you the letter of access
ACTIVE INGREDIENT 2
Content & tolerance limitsof active ingredient in % [w/w, g/l] in the technical product
2
Active ingredient classification
2
Is the ownership of data on the active ingredient different from the applicant details?
If 'yes' please fill in the details of the owner who gave you the letter of access
ACTIVE INGREDIENT 3
Content & tolerance limits of active ingredient in % [w/w, g/l] in the technical product
3
Active ingredient classification
3
Is the ownership of data on the active ingredient different from the applicant details?
If 'yes' please fill in the details of the owner who gave you the letter of access
PACKAGING
Retail packaging size in Malta
1
2
3
4
REQUESTED DOCUMENTATION

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

  • Authorisation document from Zonal Rapporteur Member State;
  • Formal statement that the plant protection product is identical to that authorised by the reference Member State;
  • Letter of access of each active ingredient (in the event that ownership of data on active ingredient is different than applicant data);
  • List of studies for Data Protection in Malta. Please provide the list in '.xls' format as presented in Annex I;
  • SDS for the product in accordance with Regulation 1272/2008/EC as applicable;
  • SDS for each active substance and co-formulant in accordance with Regulation 1272/2008/EC as applicable

Note: All SDSs must be supplied to authorise a product

  • Original product labelling
  • Official translation in English (if original is not in English)
  • Official translation in Maltese (note that if Maltese alphabet is not used, the label [and application] will not be valid)
Kindly attach any relevant documents

Use this option to:

- attach any relevant supporting information as noted hereabove in the documentation checklist.
- upload proof of payment.

PAYMENT
Payment of €3,000 to be affected within 3 days from submission of application through
(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