For Office Use Only

CEA/23

Application number

Department for Citizenship and Expatriate Affairs

3, Castille Place
VALLETTA
Application for a residence permit
for Non-EU/EEA nationals
(being persons who are not nationals of EU Member States, Iceland, Liechtenstein or Norway)

N. B. This form should be completed by a residence permit holder in respect of family members

1. Details of Residence Permit holder

Surname

Name

Nationality

Residence permit application number

Maltese ID Card number

Address in Malta
Phone

E-mail 

Fax

2. Details of Person for whom a Residence Permit is required

Surname

Former surname

Forename(s)
Present Nationality / Nationalities

Former Nationality / Nationalities

Gender

Birth date
Day

Month

Year

Place of birth
Foreign permanent address

Address in Malta

Relationship to residence permit holder:

Maltese ID card number

 Male
 Female
Country of birth

Passport number

Country of issue

Date of issue

Place of issue

Valid until

Day

Month

Year

Day

Month

Year

Date/s of previous/current residence in Malta (if any):

From:

To:

From:

To:

3. Application details
Application is being made for:

*Current Residence permit number

 First Residence Permit

 Transfer of current Permit to a new passport*
 Extension of current permit*
For the Period
Day

Month

Year

2 0

Day

To

Month

Year

2 0

4. Supporting documents
Spouse

Numbers: 1, 2, 3, 4, 5, 6

Minor child

Numbers: 1, 2, 3, 4, 5, 6, 7 and/or 8 (if applicable)

Other family member

Numbers: 1, 3, 4, 5, 6 (others as the case may be)

List of documents:
Tick documents enclosed with this application

 2 x Photographs (two recent coloured passport size photos)

 Marriage certificate

 Proof of financial resources

 Evidence of sickness insurance

 Passport (or photocopy of passport part containing details in case of applications sent by post authenticated by a
police officer)
 Birth certificate

 Documentation of parental authority (if parents are divorced/separated)

 Declaration of consent of father/mother (when minors are not accompanied by both parents)

 Present residence permit (in case of permit extension or transfer of permit to a new passport)

10

11

12

5. Declaration
I hereby solemnly declare that the information given in this application is true to the best of my knowledge and belief and
that no details have been omitted that could be of decisive importance when the application is considered.

Signature:

Date



Form completion instructions for a residence permit application for family members
-Applicant refers to a Residence Permit holder who is already residing in Malta or to a person who has
submitted an application for such a permit.
- Applying for a residence permit in respect of a family member

The Applicant should complete this form:

either in respect of the spouse
or in respect of a child (under 18 years of age)
The fee for a residence permit (valid for 1 year or less) is Lm10, paid at the time of application. FEES
ARE NOT REFUNDABLE
Any application that contains omissions or is incorrectly completed will be returned to the Applicant.

- Documentation

All required documents together with photocopies thereof ( + English translations, if applicable)
should be presented with an application.
Applicant must attach two recent coloured photographs in respect of the person whose name appears on
the application.

- Rules

The passport shall have a validity period at least equivalent to or longer than the validity period of the
Residence Permit.
If false information has been deliberately given, or a matter has been concealed which would have led to
the rejection of the application, the residence permit will be revoked.

- Data

Information furnished in this application may be forwarded to other Government Departments during
the examination of the case.
The information supplied by you (the applicant) in connection with the processing of your application
for a residence permit will be registered in the Residence database for which the Maltese Immigration
Authorities are responsible. All the relevant information that you supply subsequently in connection
with your application for a residence permit will also be registered in the Residence database.
This information will be used when considering issues regarding your residence in Malta and the Police,
the Ministry for Justice and Home Affairs as well as other relevant authorities or organizations may
receive information about you from the Residence database.

20/12/2006