as per S.L. 315.10 - Manufacture, Presentation and Sale of Tobacco and RelatedProducts Regulations, 2016
An "herbal product for smoking" means a product based on plants,herbs or fruits which contains no tobacco and that can be consumedvia a combustion process. Herbal products for smoking placed on the market shall comply with S.L. 315.10 - Manufacture, Presentation and Sale of Tobacco and Related Products Regulations, 2016.
Manufacturers and importers of herbal products for smoking need to notify the Superintendent of Public Health using this form and submit a list of all ingredients,and quantities thereof that are used in the manufacture of suchproducts by brand name and type via the EU common entry gate (EU-CEG)(
Manufacturers or importers shallalso inform the Superintendent when the composition of a product ismodified in a way that affects the information submitted pursuant tothis regulation. The information required under this regulationshallbe submitted prior to the placing on the market of a new or modifiedherbal product for smoking.
This information shall be made publicly available on a website,duly protecting trade secrets. Economic operators shall specifyexactly which information they consider to constitute a trade secret.
INSTRUCTIONS:Please return the completed registration form to:
Postal Address: / Continental Business Centre, CutricoBuildings, Level 1,
Old Railway Road, Santa Venera, SVR 9018, Malta
Or send a scanned copy to : Attn Ms Dorianne Grech
The Superintendent is entitled to request further information concerned if the information submitted is considered incomplete. For further information, send an e-mail on (attn Ms Dorianne Grech)or call on 21337333 or on 21332225.
In case of technical difficulties with the EU-CEG, please contact
(include a ‘print screen’ of the window where the problem appears in your message)
For general matters related to the functioning of the EU-CEG, please contact
Notification of Herbal Products for Smoking
Please use capital letters. All fields are required
Section 1 –IDENTIFICATION OF SUBMITTER OF REQUEST
Submitter type (check one only) / Importer / Manufacturer
Company name
Company address / Name/number of premises
Street
Town
Postal code
Country
Company contact email / Company telephone
Submitter contact information
Title (e.g. Mr., Ms., Dr.) / First name / Last name
Relationship to Submitter of Request (employee, appointed representative, etc)
Position title / Functional email address
Telephone / Mobile / Fax
Section2–DESCRIPTION OF HERBAL PRODUCT(S) FOR SMOKINGCONCERNED
Product Brand Name / Product Manufacturer / Short description of Herbal Products for Smokingconcerned
Documents attached / YES NO
Section 3 – MANUFACTURER IDENTIFICATION (for importers only)
Manufacturer name
Manufacturer headquarters
Manufacturer address / Name/number of premises
Street
City
Postal code
Country
Manufacturer contact information
Title (e.g. Mr., Ms., Dr.) / First name / Last name
Position title / Email address
Telephone / Mobile / Fax
Retail outlet(s) making this product available to public
Section 4 - CONFIRMATION STATEMENT
I hereby certify that this information, including any accompanying statements, has been examined by me and to the best of my knowledge and belief is a true, correct, and complete application.
Signature / Typed name and title / Date
Authorised Agent Contact Information
Title (e.g. Mr., Ms., Dr.) / First name / Last name
Position title / Email address
Telephone / Mobile / Fax
For official use only
Documentation correct Yes No
Name of official receiving registration (block letters)
Signature of receiving official
Date
ENVIRONMENTAL HEALTH POLICY CO-ORDINATION UNIT
TAQSIMA GĦALL-KOORDINAMENT TAL-POLITIKA GĦAS-SAĦĦA AMBJENTALI
Environmental Health Directorate Superintendence of Public Health
Continental Business Centre, Level 1, Triq il-Ferrovija, Santa Venera SVR9018
t +356 21332225, 21324093 e
Data Protection Statement: All Data collected is processed in accordance with legal provisions and the Data Protection Act, 2001. Personal Data is not disclosed to third parties if not required by Law or by other EU Regulations/obligations.
Author: D. Grech / Approved by: DEH / Date of Issue: 06/07/2017 / Form No.: A G020 / Page No.:1 of 4Version No.: 2 / Issued by: DEH