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Application Form for the Registration of Companies Involved in Maintenance and Servicing of Equipment Utilising Fluorinated Greenhouse Gases

IMPORTANT INFORMATION

Please complete in typeface of block letters.
The requested information must be completed in full.
Failure to provide adequate information will delay processing of the application.
Incomplete application forms will not be processed.
Please enclose to this application form supplementary information as requested in the page overleaf.

DETAILS OF THE COMPANY

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.

Company name

Website

VAT number

VAT number to be included when available.

Business email address

Please check the format of your answer.

Contact number

Address

Town

Post code

DETAILS OF RESPONSIBLE PERSON

Name and surname

Mobile number

Role

DOCUMENTS TO BE ENCLOSED

The following supplementary information is to be included:

- Standard Operating Procedure in place to ensure that F-gases are not released in the environment

- A list of licensed technicians employed / engaged with the company and their personal F-gas card number (TRE number)

- Old F-gas card in case of renewal

Please upload at most 5 files

Upload files

DECLARATION AND CONSENT

Data Protection Statement

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The Malta Competition and Consumer Affairs Authority ("the Controller") will process all personal data contained in this Form in accordance with the relevant provisions of the General Data Protection Regulation (GDPR) and the Data Protection Act (Chapter 586 of the Laws of Malta), for the purpose of registration of companies involved in maintenance and servicing of equipment utilising fluorinated greenhouse gases in accordance with the relevant provisions of the Fluorinated Greenhouse Gases (Implementing) Regulations (Subsidiary Legislation 427.94 of the Laws of Malta). For further information refer to the Controller’s Data Protection Policy.

Content Declaration

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I, hereby declare that the details furnished above are true and correct to the best of my knowledge and belief. I undertake to inform the Malta Competition and Consumer Affairs Authority (MCCAA) of any changes therein, immediately in case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

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