Request Form PSM | Board for the Authorisation of Plant Protection Products and Biocides

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

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

We use your data to answer your question, after which it is destroyed. Your information will not be shared with third parties.

Why is this data required?

We use your data with your permission, because otherwise we would not be able to answer your question.

How does your data get processed?

We use your data to answer your question. Your question will be answered by our own employees. Your information will not be shared with third parties.

How long do we keep your data?

As soon as we have answered your question, your data will be deleted from our systems.

What are your rights?

More information about your rights can be found on the page 'Privacy' (link opens in new tab).

Statement of agreement (required)

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

Show extra information about the processing of your personal data