Responsibility Mark – Reactivation, cancellation or use of the same responsibility mark for more than one activity – Assayer-Smelter

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Responsibility Mark – Reactivation, cancellation or use of the same responsibility mark for more than one activity – Assayer-Smelter

Name or Firm of the Holder

NIF/NIPC (VAT ID #)

Registered office or place of residence for tax purposes (mandatory filling)

Address

Postal Code

Town/City

Parish

Municipality

District

Phone/Mobile phone

Email address

Number of the activity title

Name of Technical Manager of Assayer-Smelter (RTEF)

RTEF Professional Title Number

RTEF's Taxpayer #

Nationality/Residence Status of RTEF

Address for Tax Purposes (RTEF)

RTEF Postal Code

RTEF location (Town/City)

RTEF mobile phone

RTEF email address

Registration Number of the Responsibility Mark (Punch #)

Please attach: Power of Attorney or Declaration with powers for the act (Legal Representants/Manager/Administrator/Other)

Choose the desired service

Modification of data declared in the application for approval of the responsibility mark

Registration Number of the Responsibility Mark (Punch #)

Number of the activity title, if applicable

Attach Proof of non-existence of any debt to the State

For what activity do you want the Responsibility Mark?

Customer Data/Invoice

Name/Company

Address

Postal Code

Town/City

Country

Taxpayer #

Email address