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
Back
Next
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
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Canada
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Chile
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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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Laos
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Mayotte
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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
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Slovenia
Solomon Islands
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Somaliland
South Africa
South Ossetia
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Switzerland
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Tanzania
Thailand
Timor-Leste
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Tokelau
Tonga
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Turkey
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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
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
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 including conditions for membership and rules regulating members
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An organisational structure including letters of commitment of key function holders
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A Personal Declaration Form and Source of Wealth for each of the founders, key officer, administrators and/or grantors - Forms are available on aruc.mt
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Fit and Proper Enquiry – Special Authorisation Form for each of the founders, key officer, administrators and/or grantors
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The Code of Conduct of the Association
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SITES USED FOR THE ASSOCIATION’S OPERATIONS
A declaration by an architect for each property which confirms that the property is covered by all necessary permits and is compliant with the legislation and the binding instruments, accompanied with signed site plans and internal layout plan. Applicants who opt to submit the application in stages may submit these documents at a later stage.
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Detailed floor plans showing the location of each cannabis plant and each item of equipment. Applicants who opt to submit their application in stages may initially submit a typical layout for the type and size of property they intend to seek and replace it with a plan of the actual layout when the sites are known.
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OPERATING ENVIRONMENT
Details about the process of Cultivation that will be used. The process is to be broken down into its distinct phases and listed sequentially. The length of the process, any environmental conditions to be monitored and the equipment to be used are to be included in this document.
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Source(s) of seeds and details about the species and strains that shall be used. Details shall include THC & CBD ratios, terpene profile (if known), Indica / Sativa ratio and intended target segment (experienced users, new users, etc). At least one strain must have a THC potency which is compliant with Clause 5 on the Directive on Harm Reduction Practices. The price of each strain is to be indicated too.
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Number of plants to be cultivated, broken down by strain and the expected yield from each plant.
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Policies and procedures about hygiene and sanitation management.
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Procedure for documenting all aspects of the operations from seed to sale including stock taking, inventory keeping, reconciliation and reporting.Procedure for recall of products.
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Procedure for recall of products.
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Environmental plan including odour control, waste management and sanitation plan [including air filtration, ventilation, lighting, water supply, temperature, and humidity control].
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Pest Control management plan
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Procedures related to physical entry controls and dealing with attempts of unauthorised access and theft.
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Details about where the packaging and storage shall be done and the procedures to be used.
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Operations recovery plan.
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Policies and procedures for transportation from the cultivation site to the distribution site including record keeping.
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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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Product display policies.
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Procedures for record keeping of the Register of Members in compliance with SL 628.01 Art 22 and GDPR regulations.
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HUMAN RESOURCES
Identification of the roles needed and details whether the roles shall be outsourced.
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Recruitment policies and procedures that shall be used, which shall 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 in line with Part 2 of the Directive on Administration and Governance.
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Details of workings and key assumptions relevant to the projected financial forecasts.
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Please sign:
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