e-form Application for Economic Operator Registration
and Identification (EORI) An EORI-number is a unique identification number that is to be used for all Customs related activities within the EU, for example when importing from or exporting to a country outside the EU. Economic operators established in the EU shall always apply for an EORI-number in the Member State where they are established. Before completing this form, please read the explanatory notes available here. Economic Operator Full Name Short Name Type of Person Natural Legal Association of Persons Association of persons (which is not a legal person but which is recognised under Union or national law as having the capacity to perform legal acts). Consent to disclosure of personal data Yes No (Consent to the European Commission, to publish on its website, information related to the undersigned and the company. This information will only be published for the purpose of the EORI system and placed on the World Wide Web). Address of establishment/address of residence Name of Establishment Street Name City Post Code Country Code AD AE AF AG AI AL AM AO AQ AR AS AT AU AW AZ BA BB BD BE BF BG BH BI BJ BL BM BN BO BQ BR BS BT BV BW BY BZ CA CC CD CF CG CH CI CK CL CM CN CO CR CU CV CW CX CY CZ DE DJ DK DM DO DZ EC EE EG EH ER ES ET EU FI FJ FK FM FO FR GA GB GD GE GH GI GL GM GN GQ GR GS GT GU GW GY HK HM HN HR HT HU ID IE IL IN IO IQ IR IS IT JM JO JP KE KG KH KI KM KN KP KR KW KY KZ LA LB LC LI LK LR LS LT LU LV LY MA MD ME MG MH MK ML MM MN MO MP MR MS MT MU MV MW MX MY MZ NA NC NE NF NG NI NL NO NP NR NU NZ OM PA PE PF PG PH PK PL PM PN PS PT PW PY QA QP QQ QR QS QU QV QW QX QY QZ RO RU RW SA SB SC SD SE SG SH SI SK SL SM SN SO SR SS ST SV SX SY SZ TC TD TF TG TH TJ TK TL TM TN TO TR TT TV TW TZ UA UG UM US UY UZ VA VC VE VG VI VN VU WF WS XC XK XL XS YE ZA ZM ZW Establishment in the customs territory of the union Not Applicable Yes No

Contact information (Maltese Representative) *Mandatory Name House and Street Name City Post Code Country Code AD AE AF AG AI AL AM AO AQ AR AS AT AU AW AZ BA BB BD BE BF BG BH BI BJ BL BM BN BO BQ BR BS BT BV BW BY BZ CA CC CD CF CG CH CI CK CL CM CN CO CR CU CV CW CX CY CZ DE DJ DK DM DO DZ EC EE EG EH ER ES ET EU FI FJ FK FM FO FR GA GB GD GE GH GI GL GM GN GQ GR GS GT GU GW GY HK HM HN HR HT HU ID IE IL IN IO IQ IR IS IT JM JO JP KE KG KH KI KM KN KP KR KW KY KZ LA LB LC LI LK LR LS LT LU LV LY MA MD ME MG MH MK ML MM MN MO MP MR MS MT MU MV MW MX MY MZ NA NC NE NF NG NI NL NO NP NR NU NZ OM PA PE PF PG PH PK PL PM PN PS PT PW PY QA QP QQ QR QS QU QV QW QX QY QZ RO RU RW SA SB SC SD SE SG SH SI SK SL SM SN SO SR SS ST SV SX SY SZ TC TD TF TG TH TJ TK TL TM TN TO TR TT TV TW TZ UA UG UM US UY UZ VA VC VE VG VI VN VU WF WS XC XK XL XS YE ZA ZM ZW Telephone email Contact information (Other Representative) *Mandatory for non-Maltese applicant Name House and Street Name City Post Code Country Code AD AE AF AG AI AL AM AO AQ AR AS AT AU AW AZ BA BB BD BE BF BG BH BI BJ BL BM BN BO BQ BR BS BT BV BW BY BZ CA CC CD CF CG CH CI CK CL CM CN CO CR CU CV CW CX CY CZ DE DJ DK DM DO DZ EC EE EG EH ER ES ET EU FI FJ FK FM FO FR GA GB GD GE GH GI GL GM GN GQ GR GS GT GU GW GY HK HM HN HR HT HU ID IE IL IN IO IQ IR IS IT JM JO JP KE KG KH KI KM KN KP KR KW KY KZ LA LB LC LI LK LR LS LT LU LV LY MA MD ME MG MH MK ML MM MN MO MP MR MS MT MU MV MW MX MY MZ NA NC NE NF NG NI NL NO NP NR NU NZ OM PA PE PF PG PH PK PL PM PN PS PT PW PY QA QP QQ QR QS QU QV QW QX QY QZ RO RU RW SA SB SC SD SE SG SH SI SK SL SM SN SO SR SS ST SV SX SY SZ TC TD TF TG TH TJ TK TL TM TN TO TR TT TV TW TZ UA UG UM US UY UZ VA VC VE VG VI VN VU WF WS XC XK XL XS YE ZA ZM ZW Telephone email Customs Activity Legal Status Import Export Import and Export Company Company LTD Public Liability VAT identification number(s) VAT number assigned by Malta VAT number/s assigned by other Member States VAT Certificate Article
(According to VAT Act CAP 406)
Mandatory if VAT identification number assigned by Malta is filled Third country unique identification number Not Applicable Article 10 Article 11 Article 12

Remarks Declaration Director's ID Card No. / Passport No. Director's Name I, hereby declare that the information given on this application is true and complete. Director's Signature Signature (Note: Use mouse or Touch Screen to sign) Enter the eMail address of the applicant in the space provided below.

Note: Once you submit the form a copy will be sent to this eMail address. This will confirm that the form was submitted successfully. INSTRUCTIONS

1. This form should be only completed by a director.

2. Before submitting this e-Form, you must use the Document Uploader at the end of this page to add and upload a pdf document which includes the VAT Certificate (if applicable), the MFSA Certificate (if applicable), together with the ID card or Passport of one of the directors (foreign directors only). Maltese directors are requested to write their full name and ID card number. DATA PROTECTION

The Customs Department will use the information provided to process this form in accordance with the applicable law. We may check information provided by you, or information about you provided by a third party, with other information held by us. We will not disclose information about you to anyone outside this Department unless permitted by law. The Commissioner for Revenue will treat your personal information in accordance with the Data Protection Act 2001 (Cap 440) to protect your privacy. Any queries may be addressed to the Data Controller, Customs Department.