e-form

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.





Signature





Cargo No.





Passport/I.D Card No.





Date





.

For Office Use





173, St Christopher Street,
Valletta. VLT 2000.MALTA
Fax.: +356 23950555
heritage.superintendence@gov.mt



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