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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 the processing of the application.
  • Incomplete application forms will not be processed.
  • Please enclose to this application form supplementary information as requested in this form.
DETAILS OF THE APPLICANT
(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)
Company name
(This question is mandatory)
Website
(This question is mandatory)
VAT number

VAT number to be included when available.

NACE code
NACE number to be included when available.
(This question is mandatory)
Business email address
(This question is mandatory)
Telephone number
(This question is mandatory)
Mobile number
(This question is mandatory)
Address
(This question is mandatory)
Town
(This question is mandatory)
Post code
DETAILS OF RESPONSIBLE PERSON
(This question is mandatory)
Name and surname
(This question is mandatory)
Role
(This question is mandatory)
Telephone / Mobile number
(This question is mandatory)
Email address
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 license card number (TRE number)  

- Old licence card in case of renewal

DECLARATION AND CONSENT

Content Declaration

(This question is mandatory)
Details of the responsible person
Data Protection Declaration
(This question is mandatory)
Details of the responsible person