This Form must be completed to the best of your ability and submitted to the ERCA Registry. Please attach any documents or relevant information to support your application. The information provided in this Form is confidential to the extent possible to enable ERCA consider your application. However, ERCA may disclose this information where necessary to assist in the discharge of its functions. ERCA will contact the applicant where it considers that it is necessary to disclose such information. However, for the avoidance of doubt, you have the right to identify which information you consider confidential by submitting a request for confidentiality together with this application.

I declare that the information in this Application Form and all supporting documents I have attached are accurate and provided to ERCA in good faith. I am aware that it is an offence to provide false or misleading information to ERCA and that I am committed to cooperate fully and sincerely with ERCA until the conclusion of the investigation.