Request Form PSM

The registration form below is intended for the registration of a PSM for biocides and biocidal active substances.

Request Form PSM

Organisation(required)

Full name(required)

Job title(required)

Address(required)

Invoice address

Please submit an invoice address when different from the mail address

E-mail(required)

Your e-mail address will be used for correspondence regarding the registration.

The following questions and/or concerns, I would like to discuss during the meeting:

Terms and conditions(required)

I agree to the terms and conditions of participation and payment.

Information about the processing of your personal data

Your information will not be shared with third parties and will only be used to answer your question and / or request. Legal retention periods apply to the storage of your data (see Privacy page). After the expiry of the retention period, your data will be removed from our systems.

Show additional information about the processing of your personal data

Why is this data required?

In order to answer your question and / or request and to invoice you for any related costs, we need the requested data and your permission to use this data.

How does your data get processed?

We only use your data to answer your request and / or request and to invoice you for any related costs. Your question is answered by our own employees. Your information will not be shared with third parties.

How long do we keep your data?

Legal retention periods apply to the storage of your data (see Privacy page). After the expiry of the retention period, your data will be removed from our systems.

What are your rights?

You can find more information about your rights on page 'Privacy' (link opens in new tab).

Statement of agreement(required)

I have read and understood how my personal data will be processed.

Request Form PSM

Request Form PSM

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