e-Soumissions Exemption application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 10If your business activity or agreement requires an exemption from certain regulatory rules, this form is for you. The “File an exemption application online” form is used to request an exemption from competition law under specific conditions. It allows you to set out the reasons why you are requesting an exemption and to submit supporting documents electronically.I accept the privacy policy of the WAEMU Competition Directorate *YesBy ticking this box, I confirm that I fully agree with the privacy policy of the WAEMU Competition Directorate.NextINSTRUCTIONSThis form should be completed as fully as possible and submitted to the registry of the WAEMU Competition Directorate. Please attach any relevant documents or information in support of your application. The information provided in this form is kept confidential as far as possible to enable the WAEMU Competition Directorate to examine your application. However, the WAEMU Competition Directorate may disclose this information where necessary to assist it in carrying out its functions. The WAEMU Competition Directorate will contact the applicant when it considers it necessary to disclose this information. However, for the avoidance of doubt, you are entitled to identify the information you consider confidential by submitting a confidentiality request together with this application.1. APPLICANT'S CONTACT DETAILSFull name of the applicant or authorised representative *Full name of the applicant's company *Name and address of the contact person *Website *TelephoneEmail address *Description of the industry * Visual Code If this application is submitted jointly with other natural and/or legal persons, please identify them and provide the full contact details of the other applicants Visual Code Written proof of the representative's authority to act * Click or drag files to this area to upload. You can upload up to 99 files. Where the declaration in this form is signed by a lawyer or another representative of the applicant(s), please provide written proof of that representative's authority to act on behalf of the applicant(s). The written proof must contain the name and position of the persons granting that authority.Has WAEMU granted an authorisation or exemption for the same agreement? If so, please give the reference number of the WAEMU Competition Directorate. * Visual Code Has another regional/national competition authority granted an authorisation or exemption for the same agreement? If so, please give details. * Visual Code PreviousNext2. DETAILS OF THE AGREEMENT, DECISION OR CONCERTED PRACTICEGive details of the agreement, decision or practice for which authorisation or exemption is sought. Also state the goods or services covered by the agreement or practice * Visual Code PreviousNext3. GEOGRAPHIC SCOPESet out your view of the geographic scope of the agreement, decision or practice for which authorisation or exemption is sought, in particular the Member States of the common market that are or may be affected * Visual Code PreviousNext4. INFRINGEMENT OF THE COMMUNITY COMPETITION RULES (CCR)Please explain which provision(s) of the CCR you consider have been, or are likely to be, infringed by the agreement, decision or conduct * Visual Code PreviousNext5. GROUNDS FOR AUTHORISATION OR EXEMPTION AND DURATIONPlease explain why you are seeking authorisation or exemption and the period for which it is sought. In particular, explain how the agreement, decision or conduct contributes to improving the production or distribution of goods or to promoting technical or economic progress, while allowing consumers a fair share of the resulting benefit * Visual Code Explain how the agreement, decision or practice benefits consumers without imposing on the parties concerned restrictions that are not indispensable to achieving consumer welfare, and how the agreement, decision or practice will not lead to the elimination of competition in respect of a substantial part of the products or services in question * Visual Code PreviousNext6. PROCEEDINGS BEFORE REGIONAL/NATIONAL COMPETITION AUTHORITIESPlease state whether you have contacted any other regional/national competition authority regarding the same agreement or practice or closely related agreements or practices. If so, please give details of the authority contacted and of the submissions you made to that authority. * Visual Code PreviousNext7. ADDITIONAL INFORMATIONSupporting documents * Click or drag files to this area to upload. You can upload up to 99 files. Please list all supporting documents attached to this application * Visual Code PreviousNext8. SWORN STATEMENTI declare that the information contained in this application form and all supporting documents I have attached are accurate and are provided to the WAEMU Competition Directorate in good faith. I know that providing false or misleading information to the WAEMU Competition Directorate is an offence, and I undertake to cooperate fully and honestly with the WAEMU Competition Directorate until the investigation is concluded.Name (in capitals) *Position *Date *PreviousNextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to check your information. You can also go back to make changes.PreviousConfirm and submit