Mobile Telephony Operator Registration

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(Mobile Virtual Network Enabler)

In terms of The Excise Duty Act - Chapter 382

The fields marked with an asterisk (*) are required

Details of Applicant

Name of Applicant:*

VAT Registration No:*

Postal Address of Applicant:*

Post code:*

Name & Surname:*

ID Number:*

Occupation:*

Telephone No:*

Mobile No:*

Email:*

I hereby apply for the supply of mobile telephony services in the Republic of Malta

Date of commencement of operations:*

A list of Director(s) and Company Secretary from MFSA:*

Copy of Police Conduct of Director(s) and Company Secretary:*

Copy of original VAT certificate:*

Copies of any permits, licenses or certificates relative to the legal status of your trade:

The Customs Department reserves the right to request the original copies of all the above

Please upload declaration form:*

Please enter the code provided:*

Declaration Form
Please print and sign this declaration form and upload in the 'Mobile Telephony Operator Registration ' online application form.