Proposed Radiation Protection Expert
Name of Proposed Radiation Protection Expert
RPC Approval Certificate Number
Name of Proposed Radiation Protection Expert
Signature of acceptance of proposed Radiation Protection Expert
Declaration of the Employer's Legal Person
I certify that the information provided in this form is correct.
This form must be printed when filled, signed and submitted to the Commission via email ( info.rpc@gov.mt ) or by other means to address below.
Radiation Protection Commission
Sorbonne Centre
Unit F22Mosta
Technopark
Mosta MST 3000
The Radiation Protection Commission will process your data in accordance with the principles of the Data Protection Act. We will not release any Information held about you to third parties except where necessary for the fulfillment of this application. We may process your address, telephone, fax or e-mail details to contact you in connection with this application. Completion and submission of this application form signifies your consent to the processing of this data. Please contact us if you would like us to inform you about the personal data we hold about you or if you require such data to be corrected.