e-form

Application for a Licence in accordance with the Production of Cannabis for Medicinal and Research Purposes Act (Cap. 578 of the Laws of Malta)

Application Type (PLEASE TICK ONE):







DETAILS OF THE PROPOSED LICENCE HOLDER

If not applicable insert N/A in each box

1.1 If Individual:

Name:





Surname:





ID or Passport Number:





1.2 If company:

Name of company:





Company registration number:





Legal and judicial representative of company:

Name:





Surname:





ID or Passport No.:





Page 1 of 20

CAN002/02 Appendix 1 Version 1







Print Form
pageno Next Page


 


Aloaha Software
Aloaha Form Provider Aloaha Crypto Provider Aloaha VallettaCoin