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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
(This question is mandatory)
Trade name / proposed trade name
(This question is mandatory)
Type of Plant Protection Product
DETAILS OF APPLICANT (PERMANENT NATIONAL ADDRESS)
(This question is mandatory)
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.

(This question is mandatory)
Full name
(This question is mandatory)
Address
(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)
Telephone no.
Mobile no.
(This question is mandatory)
Contact person
DETAILS OF GROWER (IF DIFFERENT FROM APPLICANT)
Full name
Address
Email address
Telephone no.
Mobile no.
Contact person
DETAILS OF REFERENCE PRODUCT
(This question is mandatory)
Name or reference product registered in Malta
(This question is mandatory)
Registration number in Malta
(This question is mandatory)
Expiry date of registration in Malta
Open the date time chooser
DETAILS OF PRODUCTS TO BE IMPORTED
Details of products to be imported
Countries from which the product will be imported1
Name(s) of the product in these countries
Registration no(s) of the product in these countries
Name(s) of approval holders
Active ingredient(s) and concentration(s) in formulation
Formulation type (e.g. soluble concentrate, water dispersible granule, etc.)
Is the product in the form supplied to the end user? (yes / no)
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)

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
Area of agricultural land registered on behalf of grower
IACS registration number
PAYMENT DETAILS
Payment of €50 to be effected within 3 days from submission of application
(This question is mandatory)
Payment method

Bank Account Details

Bank name: Bank of Valletta

IBAN number: MT14VALL22013000000040019986609

Swift code: VALLMTMT

DECLARATIONS
(This question is mandatory)
Content Declaration
(This question is mandatory)
Data Protection Declaration