APPLICATION FOR A PERMIT TO CULTIVATE, HARVEST, STORE, PACKAGE, TRANSPORT AND DISTRIBUTE NON-MEDICAL CANNABIS
Application
New Application
Renewal
Category
*
CATEGORY 1 – up to 50 members
CATEGORY 2 – 51 to 100 members
CATEGORY 3 – 101 to 250 members
CATEGORY 4 – 251 to 350 members
CATEGORY 5 – 351 to 500 members
CHANGES TO INFORMATION PROVIDED IN THE LAST APPLICATION
*
Yes
No
Registry Ref:
Part A
1. DETAILS OF PROPOSED ASSOCIATION
Name of Association:
*
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email Verification
*
Association's Email
Number of Founders
*
Please Select
2
3
4
5
6
Number of administrators who are not founders (mandatory)
*
Please Select
1
2
3
4
5
Number of administrators who are not founders
*
Please Select
0
1
2
3
4
5
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Next
Save
2. DETAILS OF FOUNDING MEMBER - 1
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
Contact Number
*
Email
*
example@example.com
Shall this individual also sit on the Board of Administration?
*
Yes
No
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
2. DETAILS OF FOUNDING MEMBER - 2
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also sit on the Board of Administration?
*
Yes
No
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
2. DETAILS OF FOUNDING MEMBER - 3
Full Name
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also sit on the Board of Administration?
*
Yes
No
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
2. DETAILS OF FOUNDING MEMBER - 4
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also sit on the Board of Administration?
*
Yes
No
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
2. DETAILS OF FOUNDING MEMBER - 5
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
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Cameroon
Canada
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Chile
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Cuba
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Falkland Islands
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Guinea-Bissau
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Israel
Italy
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Japan
Jersey
Jordan
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Kenya
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Kuwait
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Malta
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Mayotte
Mexico
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Moldova
Monaco
Mongolia
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Myanmar
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Namibia
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Nepal
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New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
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Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Tristan da Cunha
Tunisia
Turkey
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Turks and Caicos Islands
Tuvalu
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Ukraine
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United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also sit on the Board of Administration?
*
Yes
No
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
2. DETAILS OF FOUNDING MEMBER - 6
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also sit on the Board of Administration?
*
Yes
No
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
3. DETAILS OF OTHER ADMINISTRATOR - 1
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
3. DETAILS OF OTHER ADMINISTRATOR - 2
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
3. DETAILS OF OTHER ADMINISTRATOR - 3
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
3. DETAILS OF OTHER ADMINISTRATOR - 4
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
3. DETAILS OF OTHER ADMINISTRATOR - 5
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Shall this individual also be the Key Officer?
*
Yes
No
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
Back
Next
Save
4. DETAILS OF PROPOSED KEY OFFICER
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Confirmation that the individual has been residing in Malta for at least 5 years
*
Yes
No
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Other Key Position - Growing SIte
*
Yes
No
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
Type of engagement with the Association
*
Full-time
Part-time
Other
Qualifications and/or experience related to the activities to be performed
5. INDIVIDUAL IN DESIGNATED KEY POSITION - GROWING SITE
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Other Key Position - Distribution Site
*
Yes
No
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
Type of engagement with the Association
*
Full-time
Part-time
Other
Qualifications and experience (if any) related to the activities to be performed
6. INDIVIDUAL IN DESIGNATED KEY POSITION - DISTRIBUTION SITE
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Other Key Position - Security
*
Yes
No
Other Key Position - Quality Assurance
*
Yes
No
Type of engagement with the Association
*
Full-time
Part-time
Other
Qualifications and experience (if any) related to the activities to be performed
7. INDIVIDUAL IN DESIGNATED KEY POSITION - SECURITY
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Other Key Position - Quality Assurance
*
Yes
No
Type of engagement with the Association
*
Full-time
Part-time
Other
Qualifications and experience (if any) related to the activities to be performed
8. INDIVIDUAL IN DESIGNATED KEY POSITION - QUALITY ASSURANCE
Full Name
*
First Name
Last Name
ID card number
*
E.g. 0001204(M)
Date of Birth
*
/
Day
/
Month
Year
Date Picker Icon
Place of Birth
*
Nationality
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
Contact Number
*
Email
*
example@example.com
Type of engagement with the Association
*
Full-time
Part-time
Other
Qualifications and experience (if any) related to the activities to be performed
Back
Next
Save
Part B
1. PREMISES DETAILS
a. Premises details where cultivation, harvesting and curing shall take place
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
*
b. Premises details where distribution shall take place
Address Line 1
*
Address Line 2
*
Locality
*
Please Select
Attard
Balzan
Birgu
Birkirkara
Birzebbuga
Bormla
Dingli
Fgura
Furjana
Gharghur
Ghaxaq
Gzira
Gudja
Hamrun
Isla
Iklin
Kalkara
Kirkop
Lija
Luqa
Marsa
Marsaxlokk
Mdina
Mellieha
Mgarr
Mosta
Mqabba
Msida
Mtarfa
Naxxar
Pembroke
Pieta'
Qormi
Qrendi
Rabat
Rahal Gdid
Safi
San Giljan
San Gwann
San Pawl il-Bahar
Santa Lucija
Santa Venera
Siggiewi
Sliema
Swieqi
Tarxien
Ta' Xbiex
Valletta
Wied il-Ghajn
Xghajra
Zabbar
Zebbug
Zejtun
Zurrieq
Fontana Ghawdex
Ghajnsielem Ghawdex
Gharb Ghawdex
Ghasri Ghawdex
Kercem Ghawdex
Munxar Ghawdex (inc Xlendi)
Nadur Ghawdex
Qala Ghawdex
Rabat Ghawdex
San Lawrenz Ghawdex
Sannat Ghawdex
Xaghra Ghawdex
Xewkija Ghawdex
Zebbug Ghawdex (inc Marsalforn)
Postcode
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c. Premises details where packaging shall take place
Please choose:
Growing Site
Distribution Site
2. DISTRIBUTION OF UNSTERILISED SEEDS
Will NPO shall be distributing unsterilised seeds to its members
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Yes
No
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Part C
SUPPORTING DOCUMENTATION
The following is a list of technical documents that need to be uploaded together with this application form:
THE ASSOCIATION
A copy of the statute of the Association - in DRAFT format
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Logo
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The membership policy
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An organisational structure
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A Personal Declaration Form, Source of Wealth and the Fit and Proper Enquiry – Special Authorisation Form for each of the founders, key officer and administrators - Forms are available on aruc.mt
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The Code of Conduct of the Association
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Copies of any agreements or letters of commitment with key function holders
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SITES USED FOR THE ASSOCIATION’S OPERATIONS
An architect’s report in respect of each of the proposed premises which shall include a declaration which confirms that the said property is situated within a distance of not less than two hundred and fifty metres (250m) from the perimeter of a school, a club or a youth centre and is covered by the necessary permits and authorisations required in terms of, and is compliant with, all applicable laws, regulations and binding instruments, including, inter alia, environmental, planning and health and safety legislation and any binding instruments issued by the Authority. The report must also include site plans and internal layout plans certified by the architect.
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A security risk assessment for each site including floor plans which clearly indicate the security features.
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Declaration by the founders of the association that the association, once registered, shall hold the necessary legitimate rights over the premises, and shall continue to hold such rights for the entire term of the licence. This declaration must be accompanied with the relevant supporting documentation.
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OPERATING ENVIRONMENT
Details about the process of cultivation, processing, storage and distribution that will be used including the source(s) of seeds and the species and strains that shall be used.
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Declaration that chemical pesticides shall not be used and details about any nutrients, organic pesticides and other natural methods that shall be used to cure cannabis plants.
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Policies and procedures about hygiene and sanitation management, pest control, waste management, and environment control (air filtration, ventilation, lighting, water supply, temperature, and humidity control).
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Procedure for reconciliation and reporting, stock-taking and inventory keeping.
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Procedures related to security.
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Operations recovery plan.
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TRANSPORTATION
Agreement or letter of commitment with an ADR-certified transportation service provider.
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Transportation policies and procedures.
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DISTRIBUTION
Technical specifications and images of the packaging that shall be used.
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Harm Reduction initiatives.
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Procedures for product display.
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Procedures for record keeping of the Register of Members.
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HUMAN RESOURCES
Identification of the roles needed and details whether the roles shall be outsourced.
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Policies and procedures that shall be used to ensure that the chosen employees and service providers are of good conduct.
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FINANCIAL PLAN
Detailed three-year financial forecasts, including income and expenditure, balance sheet and cash flows statements.
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Details of the projected income to be generated by the association, which shall include membership fees and prices of the various cannabis species and phytocannabinoid profiles that shall be distributed.
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Details of workings and key assumptions relevant to the projected financial forecasts.
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Name and Surname of Person filling the form
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First Name
Last Name
Nationality
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
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