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Application Form for the Registration of Personnel 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 for 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 3rd 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)
Name
(This question is mandatory)
Surname
(This question is mandatory)
ID card number
(This question is mandatory)
Telephone number
(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)
Mobile number
(This question is mandatory)
Address
(This question is mandatory)
Town
(This question is mandatory)
Post code
(This question is mandatory)
Company employed with
VAT number

Required if self-employed.

VAT number to be included when available.

NACE code

NACE code to be included when available.
DOCUMENTS TO BE ENCLOSED

The following supplementary information is to include:

- Passport size photo (Passport photo is required in fulfilment of the issuing of relevant documentation of registered personnel involved in maintenance and servicing of equipment utilising flourinated greenhouse gases) 

- Photocopy of Certificate issued by the Certifying Body   

- Old license card in case of renewal

DECLARATION AND CONSENT

Content Declaration

(This question is mandatory)
Details
Data Protection Declaration
(This question is mandatory)
Details