Movement and/or Export from National Territory Declaration

Number of Documents Attached

Name and Surname/Address

Consignee (Address and Country of Destination)

Packer / Shipper

Type of Export/Movement

Date of Movement/Export

I, the undersigned, declare that the goods in the attached packing list do not include cultural heritage items of artistic, historical, archaeological, ethnographic, palaeontological and/or geological importance. There are also no cultural heritage items from archaeological, palaeontological and/or geological sites and deposits, cultural landscapes, collections, and archives.
I confirm that this declaration is truthful, correct and commensurate with the definition of the Cultural Heritage Act 2002.

The Superintendent of Cultural Heritage authorises this export/movement on condition that the documents presented and examined as well as the declaration above show the true state of affairs at the time the goods leave Maltese national territory.


Cargo No.

Passport/I.D Card No.



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