Department For Citizenship and Expatriate Affairs: Dipartiment Taċ-Ċittadinanza U Ta' L-Expatriates

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Dipartiment taċ-Ċittadinanza u ta’ l-

Expatriates

Department for Citizenship and


Expatriate Affairs

FORMOLA ID 1A IDENTITY REGISTRATION FORM –


FORM ID 1A NON-MALTESE NATIONALS

1. Type of applicant
Type A: Non-Maltese National of an EU Member State

Type B: Non-Maltese National who is not a National of a EU Member State, Iceland, Liechtenstein,
or Switzerland Norway

Type C: Non-Maltese National who is a National of Iceland, Liechtenstein, Norway or Switzerland

2. Type of form
First Time Application

Renewal with no changes to current details

Change in Address

Other Changes (not Address)

Lost/Stolen/Damaged Card

3. Details of Applicant

ID Card No 1

Surname

Maiden
Surname
Name

Current Nationality at
Nationality Birth

Country of Place of Birth


Birth:

Marital Status  Single  Married  Separated  Divorced  Widow/er


Sex  Male  Female
Date of Birth

1
If known
Travel Document Type  Passport  Foreign ID Card
 Other (Specify) ______________________________

Travel Doc No. Country of Issue

Date of Issue (dd/mm/yyyy) Valid Until


(dd/mm/yyyy)

4. Contact Details

Address:

Phone No Mobile No

E-Mail Address

5. Declaration by Applicant

Tick where applicable

I declare that I wish to proceed with applying for an electronic identity account.

I declare that I do not wish to proceed with applying for an electronic identity account.

Signature of Applicant
Date

All data is collected and processed in accordance with the Identity Card Act (Cap. 258) and the Data Protection
Act (Cap. 440).

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