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 Approval of 'Own-Use' of Imported Pesticides Identical to Products Approved under the Plant Protection Products Regulations

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

Trade name / proposed trade name

Type of Plant Protection Product

Check all that apply

Fungicide
Molluscicide
Insecticide
Repellent
Herbicide
Rodenticide
Plant growth regulator
Bactericide

DETAILS OF APPLICANT (PERMANENT NATIONAL ADDRESS)

Are you a retuning 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.

Full name

Address

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.

Telephone no.

Only numbers may be entered in this field.

Mobile no.

Only numbers may be entered in this field.

Contact person

DETAILS OF GROWER (IF DIFFERENT FROM APPLICANT)

Full name

Address

Email address

Please check the format of your answer.

Telephone no.

Only numbers may be entered in this field.

Mobile no.

Only numbers may be entered in this field.

Contact person

DETAILS OF REFERENCE PRODUCT

Name or reference product registered in Malta

Registration number in Malta

Expiry date of registration in Malta

Answer must be greater or equal to 25.03.2023

DETAILS OF PRODUCTS TO BE IMPORTED

Details of products to be imported

Please fill in at least one answer

	1	2	3	4	5
Countries from which the product will be imported¹	1	2	3	4	5
Name(s) of the product in these countries	1	2	3	4	5
Registration no(s) of the product in these countries	1	2	3	4	5
Name(s) of approval holders	1	2	3	4	5
Active ingredient(s) and concentration(s) in formulation	1	2	3	4	5
Formulation type (e.g. soluble concentrate, water dispersible granule, etc.)	1	2	3	4	5
Is the product in the form supplied to the end user? (yes / no)	1	2	3	4	5

Note: ¹The product must be approved for marketing and use in the country from which it will be imported.

REQUESTED DOCUMENTATION

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

Original labels;
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);
A Safety Data Sheet (SDS) for the product in accordance with Regulation 1272/2008/EC.
IACS registration certificates.

Kindly attach any relevant documents (you may opt to compress all files into .a rar file not larger than 10MB)

Please upload at most 10 files

Upload files

Use this option to:

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

OTHER INFORMATION

Other relevant information

Please fill in at least one answer

	1	2	3	4	5
Area of agricultural land registered on behalf of grower	1	2	3	4	5
IACS registration number	1	2	3	4	5

PAYMENT DETAILS

Payment of €50 to be effected within 3 days from submission of application

Payment method

Choose one of the following answers

Bank transfer
Cheque (payable to MCCAA)

Bank Account Details

Bank name: Bank of Valletta

IBAN number: MT14VALL22013000000040019986609

Swift code: VALLMTMT

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.

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.

Please confirm you want to clear your response?