CEA form C2

EXPATRIATES UNIT
SINGLE PERMIT (EXCLUDING RECRUITING/TEMPING AGENTS)
NEW APPLICATION FORM

01 APPLICANT’S DETAILS

Identity Document No. A

Surname Urrego Cruz

Name Nicolas Enrique

Current Nationality

Nationality at Birth

Country of Birth

Place of Birth

Marital Status Single Married Separated Divorced Widowed

Gender Male Female Unspecified

Date of Birth

Travel Document Type X Passport Foreign ID Other (Specify)

Travel Document No. BF619063

Country of Issue

Date of Issue Valid Until

Date of first
settlement in Malta

Intended Duration
of stay in Malta

Country of Residence
prior to Settlement
in Malta

Currently residing in

Intended Country
of Next Settlement

Address in Malta

Post Code

Telephone No.

Mobile No.

Email Address

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02 DECLARATION BY THE APPLICANT

I, hereby authorise my employer to register on the Identità (Expatriates Unit) Online Application Portal in order to initiate
the application process and submit information on my behalf for the processing of the Employment Resident Permit by
Identità. I understand that my employer would have direct visibility and can track the Employment Residence Permit process
through the Portal. Such visibility shall constitute access to personal information and records submitted in conjunction to
the application process and its requirements as may be deemed necessary.

I further understand that in case my Employment Residence Permit application is successful, a VISA application with the
respective competent authorities may be further required. In this regard, I further extend my authorisation to my employer
to keep track of my Visa Application process and have visibility as to the status of the said application.

I, hereby, declare that:

• the information given in this application is true to the best of my knowledge and belief, and that no details that could
be of direct importance during the application’s consideration have been omitted.
• I shall notify Identità of any change of address
• I shall inform Identità within three (3) days of a lost card, providing an official Police Report

I understand that:

a. the residence permit being applied for is specific to the employer and designation being declared in this
application, and, that, once it is approved, any change to either the employer and/or the designation will require
a new application with Identità through the new employer (if applicable)
b. should my employment be terminated, or should I resign from the employment declared in this application, my
residence permit will cease to be valid from the date of such termination/resignation
c. unless otherwise regularised through alternative authorisation at the time of any of the changes detailed in a.
and b. above, my immigration status would become illegal and I would need to leave Malta or otherwise be in
breach of the Immigration Act (Cap 217 of the Laws of Malta).

Applicant’s Signature Date

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03 EMPLOYER’S DETAILS

Employer’s/Company’s Name

Employer’s Address

Post Code

Telephone No. Mobile No.

Email Address

Responsible Official

Designation of
Responsible Official

VAT Registration No.

Employer
Registration No.

04 EMPLOYMENT DETAILS

Job Title

Annual Gross Salary Under €15,000 €15,000 - €30,000 €30,000 +

Expected Period of Employment From to

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05 DECLARATION BY THE EMPLOYER

Section A

Choose as applicable by ticking box:

All Applicants (Excluding Health Professionals*)

I am hereby endorsing the application for an Employment Residence Permit under S.L 217.17 with reference number

R .

Health Professionals* Only

I am hereby endorsing the application for an Employment Residence Permitt under S.L. 217.17 with reference number

R .

I confirm that the offer of employment remains the same as per the position description submitted.

The applicant will remain in employment with

for a total period of 1 year 2 years 3 years (tick as applicable) with the same conditions of work indicated in
the original application.

I confirm understanding that this Residence Permit may only remain valid for the entire period issued, if the relevant
Health screening email issued by the IDCU is provided upon the deadline notified by Identità when due.

*Health Professionals are defined as constituted by the council: https://deputyprimeminister.gov.mt/en/regcounc/cpcm/Pages/cpcm.aspx

Section B

I declare understanding and confirmation, that:

• Employment conditions related to this employment are in line with the Employment and Industrial Relations Act and
other applicable laws;
• Any changes to designation or contract will be communicated to Identità on [email protected];
• As soon as the residence permit or a temporary authorisation to work (if applicable) is issued, employment must be
registered with Jobsplus as per established employment laws and regulations;
• Termination of employment by either party, must be registered with Jobsplus as per established employment laws
and regulations and communicated to Identità via e-mail to [email protected], within not more than
four (4) days from the event taking place;
• Applicant will be provided with a copy of his engagement and termination forms as soon as these are submitted to
Jobsplus.

I do hereby affirm and declare that all information and particulars furnished by my end all throughout the application
form are true and correct to the best of my knowledge.

Employer’s Signature/ Seen By Applicant Date

Responsible Official

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06 DECLARATION BY THE APPLICANT FOR AN E-ID ACCOUNT

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.

Applicant’s Signature Date

IDENTITÀ EXPATRIATES UNIT

Triq il-Wied, L-Imsida, MSD 9020, MALTA Triq il-Wied, L-Imsida, MSD 9020, MALTA
T +356 2590 4000 T (+356) 2590 4800
W www.identita.gov.mt W www.identita.gov.mt
E [email protected] E [email protected]

Version 2.2 dated 23/09/2024

IDENTITÀ / EXPATRIATES UNIT
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