CEA

FORM C5

EXPATRIATES UNIT
EMPLOYMENT STILL ABROAD FORM
(EXCLUDING RECRUITING/TEMPING AGENTS)
PART I - APPLICANT’S DETAILS

Identity Document No.:

Surname: HASAN

Name: RAHAT

Current Nationality: Bangladeshi

Nationality at birth: Bangladeshi

Country of birth: Bangladesh

Place of birth: NOAKHALI

Marital Status: 
✘ Single  Married  Separated  Divorced  Widowed
Sex: 
✘ Male  Female Date of birth: 1 January 1982

Travel Document Type: 

✘ Passport  Foreign ID  Other Specify

Travel Document No: EB0548517 Country of Issue: Bangladesh

Date of Issue: 25 July 2019 Valid Until: 24 July 2024

Date of first settlement in Malta: Intended duration of stay: Indefinite

Country of residence
prior to settlement in Malta: Bangladesh

Currently residing in: Bangladesh

Intended Country of
Unknown
next settlement:

Address in Malta: Unknown

Post Code:

Telephone:

Mobile: +880 1850124612

Email: rahatbd.hasan82@gmail.com

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 PART II - DECLARATION BY THE APPLICANT

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 Identity Malta Agency of any change of address
• I shall inform Identity Malta Agency 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 Identity
Malta Agency 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).

Date:
Applicant’s Signature

PART III - EMPLOYER’S DETAILS

Nolita Group LTD

Employer/Company Name:

4, Last Block, P/H 7

Employer’s Address

Triq il-Habberxa

Marsaskala MSK 2242

Post Code:

99138395
Telephone: Mobile:

nolitagroupltd@gmail.com
Email:

Graziella Borg
Responsible Official:
Designation of Responsible
Director
Official:

MT29271128
Vat Registration No.

C102490
266930
Employment Registration No.

PART IV - EMPLOYMENT DETAILS

Job Title Cab Driver

Cab Driver & Delivery Courier

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

10 September 2022 9 September 2023

Expected Period of Employment: From to

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 PART V - DECLARATION BY THE EMPLOYER

Section A

Choose as applicable by ticking box:

ÿ✘ All Applicants (Excluding Health Professionals*)

I am hereby endorsing the application for a Single Work Permit under S.L 217.17 with reference number

R93003780 .

ÿ Health Professionals* Only

I am hereby endorsing the application for a Single Work Permit under S.L. 217.17 with reference number

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 ÿ 1 year ÿ 2 years ÿ 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 Identity Malta Agency 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 Identity Malta Agency on singlepermit.ima@gov.mt;
• 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 Identity Malta via e-mail to workterminations.ima@gov.mt, 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.

Date
Employer’s Signature/ Seen By Applicant
Responsible Official

IDENTITY MALTA AGENCY EXPATRIATES UNIT

Head Office, Identity Malta Agency,
Valley Road, Msida, MSD 9020 MALTA Valley Road, Msida, MSD 9020 MALTA
T: +356 2590 4000 T: (+356) 2590 4800
W: www.identitymalta.com W: www.identitymalta.com
E: enquiries@identitymalta.com E: singlepermit.ima@gov.mt

Version 2 dated 23/11/2021

IDENTITY MALTA / EXPATRIATES UNIT
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