European Youth Card (EYCA Card)

e-form

for young people aged 13 to 30 years old

Submission Date

Please submit completed electronic form to Aġenzija Żgħażagħ together with:
1. passport size photo (by using the Document Uploader with this electronic form)

Gender

Date of Birth

ID Card No

Title

Name

Surname

Door Name

Door Number

Building Entry Point Name

Street Name

Locality Name

Post Code

Mobile

E-mail

The personal information provided in this application form shall be processed in accordance with the provisions of the Data Protection Act (Cap. 440 of the Laws of Malta) and used solely for the purposes of issuing Karta Żgħażagħ and the promotion of programmes and events by Aġenzija Żgħażagħ. Personal information will not be disclosed to third parties without prior consent unless this will be strictly required by law.

I confirm that I am uploading a passport size photo with this application

I do hereby authorize Aġenzija Żgħażagħ to process the data contained in this form for the above-stated purposes

pageno