Asylum, Migration and Integration Fund Integration Measures PARTICIPANT CONTACT INFORMATION Name
I.D No. / Passport No.
Surname Address Phone Mobile
Nationality
Ukrainian Chinese Philippines Georgian
Gender
Male Female
Level of education
Primary Secondary Post-secondary
Age
Vocational
COURSE PREFERENCES Maltese
English
Beginners Intermediate
Beginners Intermediate
St. Paul’s Bay St.Venera
St. Paul’s Bay St.Venera
Language & Level Preference
Preferred tuition location
Preferred tuition schedule Floriana
AM PM
Floriana
DECLERATION 1.
I declare that all the information in this application form is correct.
2.
I am currently not attending any English and Maltese language tuition funded by EU schemes.
3.
I agree and consent to have my personal data processed by the Local Council Association on behalf of the AMIF project and handed over to third parties for the purpose of processing my application and in order to fulfil its functions by law. As the data subject I have the right to access, rectify and where applicable erase the data concerning myself. LCA undertakes to comply with all the relevant legislation and regulation relating to the handing and processing of personal data in force from time to time. Any personal data disclosed to LCA for the same purpose on any future occasion shall be subject to the same data protection notice.
Signature: ______________________
Date: ________________________ FOR OFFICE USE
Application Received Date
Application Ref. No.