The Equality Mark CertificationApplication Form
1. Details of the Organization
Name of Organization
Trading Name(s) (if applicable)
Company Registration No.
Head of Organization
Contact Person (if different from above)
1.1 Type of Organization (tick where applicable)
1.2 Type of Business Sector (tick where applicable)
2. Business Objectives
Nature of Business (use additional sheets if necessary)
Mission Statement/ Summary of business objectives
Provision of Goods and Services
If relevant, please specify the type of goods/services provided and your clientele
3. Organizational Structure
Kindly attach a chart for your organization depicting the various designations and the distribution of male and female employees in each level of the organization.
No. of persons employed:
Other status (please specify)
Total number of employees
4. Reasons for Applying
Briefly explain your motivation for applying for this certificate
Outline any previous incentives/ activities that the organization has been involved in to promote gender equality at the place of work
5. Documentation Checklist
The following is a list of documents that you will need to provide as proof that the required measures/ activities for the Equality Mark Certificate have been carried out. The equality mark promoter will help you in compiling these documents as necessary.
* Refers to points in the information document and guidelines for application.
To the best of my knowledge the information given in this application form, including accompanying documents is correct and can be processed in accordance with the data protection act.
Through this application, the organisation whose name appears below, is making a commitment to implement the practices necessary for the equality mark certification and that it will liaise with NCPE in order to ensure that these practices are monitored and maintained.
Name of Organisation
Name and Surname
Date (date / month / year)
7. For Office Use:
Accepted/ Refused/ In progress
National Commission for the Promotion of Equality (NCPE)Gattard House, National RoadBlata l-Bajda HMR 9010Tel: 22768200 | Email: firstname.lastname@example.orgWebsite: www.ncpe.gov.mt