Note to applicants: This form has to be printed back to front
Section 1 - Goods to be Exported
Description of Product (in accordance with the Combined Nomenclature)
Section 1.1 - Petroleum Products
Section 2 - Transportation and Destination
Name of Exporting Ship/Airline
Port/Airport where Goods will be Landed
Ultimate Destination of Goods
Declarant or Representative
I hereby certify that the above particulars are true and correctly stated.
Section 5 - Conditions by Competent Entities
Section 6 - Authorisation
This licence is issued in accordance with the Exportation Control Regulations, 2004 and subject to any conditions in Section 5 of the holder's copy. Goods are not to be released unless they fall under the HS Code in Section 1.
COMMERCE DEPARTMENT
The goods covered by the licence are to be shipped only from
and they are to be brought there only during the official working hours of this Department.
They may not be shipped before they have been examined by the Customs Officer detailed for this purpose.
Comptroller of Customs
Checked - Goods released for Export
Note to applicants: This form has to be printed back to front
Section 1 - Goods to be Exported
Description of Product (in accordance with the Combined Nomenclature)
Section 1.1 - Petroleum Products
Section 2 - Transportation and Destination
Name of Exporting Ship/Airline
Port/Airport where goods will be landed
Ultimate destination of goods
Declarant or Representative
I hereby certify that the above particulars are true and correctly stated.
Section 5 - Comments by Competent Entities
Section 8 - Data Protection
WARNING
Any false statements, misrepresentation or concealment of material fact on this form or any document presented in support of this application may be grounds for criminal prosecution.
INFORMATION PROTECTED
The Commerce Department collects and processes information provided in this application to carry out its functions under the Exportation Control Regulations, 2004. All data is collected and processed in accordance with the General Data Protection Regulation, the Data Protection Act, the Exportation Control Regulations, 2004, other legislation and the Privacy Policy of the Division, a copy of which is available on demand. The information provided in this application may also be exchanged with other Public Authorities and/or Government Departments, as required, for the purpose of processing of this application, and as permitted by Maltese Law.
DECLARATION
By means of this application, I am hereby applying for an export authorisation/licence. I confirm that the data I am supplying in this application is correct. I hereby give my consent to the Commerce Department to process and record the personal information which I am providing in this application, and to exchange this information with Public Authorities and Government departments, as necessary, in order to process this application and as permitted by Maltese Law.
I fully understand that:
- by opting out my application cannot be processed;
- authorised personnel who are processing this application may have access to the information provided in this application for the purpose specified in this application;
- edited information, that would not identify me, may be used for statistical purposes.
I know that I am entitled to see the information related to me, should I ask for it in writing.
I know that I have the right to make a request in writing to the Data Controller so that reasonable measures are taken to complete, correct, block or erase data to the extent that such data is incomplete or incorrect, having regard to the purposes for which they are processed when this is applicable.
I am aware that for the purposes of the Data Protection Act, the Data Controller is the Director General Commerce Department.
I know that the data processing is being made by virtue of Article 19 of the General Data Protection Regulation and Article 9(e) of the Data Protection Act. I am also aware that I have the right at every stage of the data processing to present a written objection to the Data Controller. The details of the Data Controller are: 2569 0301 and commerce@gov.mt.