FOR
CEA Form P
OFFICIAL
(EU/EEA Nationals &
USE
their family members)
A
PPLICATION FOR A
Bar Code
P
R
ERMANENT
ESIDENCE
C
/C
ERTIFICATE
ARD
Application No
This application is being submitted on the basis of the provisions of the
Free Movement of EU nationals and their Family Members Order (LN191 of 2007) and the
Person Registration No
Immigration Regulations (LN 205 of 2004)
EU National
EEA National Non-EU National
1.
Applicant Personal Details
New Application
Renewal
Surname:
Current Permit No.
Forename (s):
Former Surname
(if applicable):
___________________________
Current Nationality:
Nationality at birth
:
(if different)
Received by:
Country of Birth:
Place of Birth:
Single
Married
Separated Divorced
Widow/er
Marital Status:
Vetted by:
Male
Female
Date of Birth
:
Sex:
(DD/MM/YYYY)
Foreign ID Other
Passport
:_____________________
Travel Document Type:
(specify)
Travel Document No:
Country of Issue:
Permit Decision:
Approved
Date of Issue
:
Valid Until
:
(DD/MM/YYYY)
(DD/MM/YYYY)
Validity: ________________
Address in Malta:
Property No:
Temporary
Validity: ________________
Property Name:
Refused
Street:
Validity: ________________
Locality:
Conditions:
Telephone:
Mobile:
E-mail:
Permanent Address Abroad:
Door:
Street:
Locality:
Card Permit No.
Country:
Telephone: