This form is to be completed by the Applicant/Registrant or their nominated New Zealand Agent/Consultant. Registration (section 21) of a non-exempt ACVM trade name product is required to avoid committing an offence (section 8) under the Agricultural Compounds and Veterinary Medicines (ACVM) Act 1997. Under section 10 of the ACVM Act, you must fill out this form as part of your application to either register a trade name product, provisionally register a trade name product or vary the registration of a trade name product. Send this completed form and all required supporting documentation electronically to firstname.lastname@example.org. Refer to the Privacy Act 1993 and Official Information Act 1982 notices at the end of this form regarding collection of information by the Ministry for Primary Industries.
Identification of Confidential Information for the Purpose of Data Protection