e-form

European Youth Card (EYCA Card)

for young people aged 13 to 30 years old

Issue 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.











Print Form
pageno Next Page


 


Aloaha Software
Aloaha Form Provider Aloaha Crypto Provider Aloaha VallettaCoin