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ISO14001 Certification Application Form

SMIC-F24 R6

Thank you for choosing MCCAA to provide you with this service. Kindly complete this application form and should you have any queries in completing it, contact us on (+356) 2395 2000 or via email on [email protected]

On receipt of the completed application form, the Standards and Metrology Institute (SMI) of the MCCAA will contact you to provide further information and a quote for service.

ORGANISATION DETAILS

Are you a returning user? (In accordance with the 'Once-Only' Principle)

A 'returning user' is one who has at least filled in this form once, from the 7th 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.

Organisation name

Registered address

Telephone no.

Only numbers may be entered in this field.

Mobile no.

Only numbers may be entered in this field.

Email address

Please check the format of your answer.

Please ensure that the email address is correct as it will be used for acknowledgement purposes and also to get in touch with you.

Total number of employees covered by the scope of certification

Only numbers may be entered in this field.

Website address

Contact person

Name
Position

State your VAT registration no.

Type of industry

Main activities

ORGANISATION LEGAL STATUS

State your company registration no. (in the case of 'Sole Trader', please provide the ID number)

Is your organisation part of a group or corporation?

If 'yes' fill in the following details

Group / Corporation name
Address
Describe type of relationship

LEGAL OBLIGATIONS

Does your organisation have, or plan to have an enivormental permit?

Does your organisation have an IPPC permit?

CERTIFICATION DETAILS

Certification required (mark as appropriate)

Choose one of the following answers

New Certification
Transfer of Certification
Extension to Certification scope

If 'transfer of certification', please indicate your current certification body

Please provide the certification scope, preferably indicating the relevant NACE code(s)

Type of management system

Choose one of the following answers

Single management system
Example: management system set up for ISO9001 only
Integrated management System
Using the same documentation, internal audits, management reviews etc., example: management system set up for ISO9001 and ISO14001
Joint management system
Using separate documentation, internal audits, management reviews etc., example: management system for ISO9001 and ISO14001

In case of 'integrated' or 'joint' management systems, state the other standard(s) being used

State the name of the management system consultant (if applicable)

Number of sites involved within the scope of certification

Only numbers may be entered in this field.

If more than one site, please provide the site addresses (sites include warehousing)

Separate each address using a semi-colon (;)

When will the organisation be ready for certification audit?

Answer must be greater or equal to 08.10.2024

DECLARATIONS

Content Declaration

Check all that apply

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

Sanction Declaration

Check all that apply

Please select 5 answers

I acknowledge and confirm that no sanctions in terms of the provisions of the Russia (Sanctions) (EU Exit) Regulations 2019, as may be amended from time to time, were imposed on the company by the UK government, on its group, or any of its subsidiaries or affiliates;
I acknowledge and confirm that the company is not owned or controlled directly or indirectly by a person who is an involved or designated person within the meaning of the Russia (Sanctions) (EU Exit) Regulations, 2019, as may be amended from time to time;
I acknowledge and confirm that the company is not listed in, or is in no way involved with any person listed in, the UK Sanctions list as last updated at the time of this application (https://www.gov.uk/government/publications/the-uk-sanctions-list);
I undertake to inform the Standards and Metrology Institute immediately if after submitting this application, the UK government imposes any sanctions on the company in terms of the Russia (Sanctions) (EU Exit) Regulations 2019, as may be amended from time to time, or the company gets listed in, or becomes involved with any person listed in, the UK sanctions list.
I, hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform the Standards and Metrology Institute of any changes therein, immediately. In case any of the above information is found to be false, untrue, misleading or misrepresenting, I am aware that I may be held responsible for it.

Data Protection Declaration

Check all that apply

The Malta Competition and Consumer Affairs Authority ("the Controller") will process your personal data in accordance with the relevant provisions of the General Data Protection Regulation (GDPR), the Data Protection Act (Chapter 586 of the Laws of Malta) and other regulations made thereunder. The Controller will process your personal data for licensing and administrative purposes and to comply with its legal obligations. For further information on how your personal data will be processed refer to the Controllers's privacy policy.
I, the data subject, hereby consent to having the Malta Competition and Consumer Affairs Authority collect and process my personal information from this application.

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