Application form
for a joint application for authorisation

Fields marked with an asterisk (*) are mandatory.
Substance(s) applied for
 

Please note that in accordance with Article 62(3) of REACH Regulation, applications may be made for one or several substances that meet the definition of a group of substances in section 1.5 of Annex XI of REACH. If the application is for several substances, an argumentation for substance grouping must be appended in the Category Rationale field of the IUCLID 5 application file.

* Total number of substances
   
   
Use(s) applied for
 

Please enter, for each use applied for, the use description (in the fields "Use 1", "Use 2" etc.).

The numbering and the descriptions of uses should be identical with the ones in section 3.10 of the IUCLID application for authorisation dossier under the "Use concerned by the request" field.

* Total number of uses
   
Applicant(s)
* Total number of applicants

* Email of submitting applicant
Please ensure that the email address is correct, as ECHA will communicate important information related to your submission, e.g. the application form in .PDF format, and the submission code or the token.
* Confirm email
   
 
   
  I have read and accept the following Terms & Conditions
   
User identification
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