Responsibility Mark – Reactivation, cancellation or use of the same responsibility mark for more than one activity – Other Activities Name or Firm of the HolderName or Firm of the HolderNIF/NIPC (VAT ID #)NIF/NIPC (VAT ID #)Registered office or place of residence for tax purposes (mandatory filling)AddressAddressPostal CodePostal CodeTown/CityTown/CityParishParishMunicipalityMunicipalityDistrictDistrictPhone/Mobile phonePhone/Mobile phoneEmail addressEmail addressNumber of the activity titleNumber of the activity titleRegistration Number of the Responsibility Mark (Punch #)Registration Number of the Responsibility Mark (Punch #)Please attach: Power of Attorney or Declaration with powers for the act (Legal Representants/Manager/Administrator/Other)Please attach: Power of Attorney or Declaration with powers for the act (Legal Representants/Manager/Administrator/Other)Remove fileChoose the desired serviceModification of data declared in the application for approval of the responsibility markModification of data declared in the application for approval of the responsibility markSelect an option ReactivationCancellationUse of the same responsibility mark for more than one activityRegistration Number of the Responsibility Mark (Punch #)Registration Number of the Responsibility Mark (Punch #)Number of the activity title, if applicableNumber of the activity title, if applicableAttach Proof of non-existence of any debt to the StateAttach Proof of non-existence of any debt to the StateRemove fileAttach proof of legal representation, when applicableAttach proof of legal representation, when applicableRemove fileFor what activity do you want the Responsibility Mark?For what activity do you want the Responsibility Mark?Select an option Industrialartista: ArtistWholsesalerRetailer with jewellery (with establishment)Retailer with jewellery (without establishment)Customer Data/InvoiceName/CompanyName/CompanyAddressAddressPostal CodePostal CodeTown/CityTown/CityCountryCountrySelect an option AndorraUnited Arab EmiratesAfghanistanAntigua and BarbudaAnguillaAlbanyArmeniaNetherlands AntillesAngolaAntarcticaArgentinaAmerican SamoaAustriaAustraliaArubaAzerbaijanBosnia HerzegovinaBarbadosBangladeshBelgiumBurkina FasoBulgariumBahrainBurundiBeninBlueBermudaBrunei DarussalamBoliviaBrazilBahamasBhutanBouvet IslandsBotswanaBelarusBelizeCanadaCoconut IslandsCongo RepublicCentral African RepublicCongoSwitzerlandIvory CoastCook IslandChileCameroonChinaColombiaCosta RicaSerbia and MontenegroCubaCape VerdeChristmas IslandCyprusCzech republicGermanyDjiboutiDeenmarkDominicaDominican RepublicAlgeriaEcuadorEstoniaEgyptWestern SaharaEritreiaSpainEthiopiaEuropean UnionFinlandFijiFalkland IslandsMicronesiaFaroe IslandsFranceGabonUnited KingdomGrenadaGeorgiaFrench GuianaGhanaGibraltarGreenlandGambiaGuineaGuadeloupeEquatorial GuineaGreeceSouth Georgia and the South Sandwich IslandsGuatemalaGuamGuinea BissauGuyanaHong KongHeard and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIrelandIsraelIndiaBritish Territory in the Indian OceanIraqIranIcelandItalyJerseyJamaicaJordanJapanKenyaKyrgyzstanCambodiaKiribatiComorosSaint Kitts and NevisNorth KoreaSouth KoreaKuwaitCayman IslandsKazakhstanLaosLebanonSaint LuciaLiechtensteinSri LankaLiberiaLesothoLithuaniaLuxembourgLatviaLibyaMoroccoMonacoMoldovaMadagascarMarshall IslandsMacedoniaMaliMyanmarMongoliaMacaoNorthern MarianasMartiniqueMauritaniaMontserratMaltaMauritiusMaldivesMaláwiMexicoMalaysiaMozambiqueNamibiaNew CaledoniaNigerNorfolk IslandNigeriaNicaraguaNetherlandsNorwayNepalNauruNatoNiueNew ZealandOmanAlaranjadoPanamaPeruFrench PolynesianPapua New GuineaPhilippinesPakistanPolandSaint Peter and MiquelonPitcairn IslandPuerto RicoPalestinePortugalPalauParaguayQatarReuniãoRomaniaRussian FederationRwandaSaudi ArabiaSolomon IslandsSeychellesSudanSwedenSingaporeSaint HelenSloveniaSvalbardSlovakiaSierra LeoneSan MarinoSenegalSomaliaSurinameSão Tomé and PríncipeEl SalvadorSyriaSwazilandTurks and Caicos IslandsChadTogoThailandTajikistanTokelau IslandsEast TimorTurkmenistanTunisiaTongaTimor LesteTurkeyTrinidad and TobagoTuvaluTaiwanTanzaniaUkraineUgandaUS Minor IslandsUnited NationsUSAUruguayUzbekistanVaticanSaint Vincent and the GrenadinesVenezuelaVirgin Islands (United Kingdom)US Virgin IslandsVietnamVanuatuWallis and FutunaWestern SamoaYemenMayotteSouth AfricaZambiaZimbabweTaxpayer #Taxpayer #Email addressEmail address
