Responsibility Mark - Renewal (right to use) of the responsibility mark - Assayer-Smelter | Assay Offices

Name or Firm of the Holder

NIF/NIPC (VAT ID #)

Address of the registered office or place of business for tax purposes depending on whether you are a legal person or a sole proprietor

Postal code

Town/City

Address or place where the activity is carried out

Postal code of the establishment where the activity is carried out

Location of the establishment where the activity is carried out

Phone/Mobile phone

Email address

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

Please attach: Declaration of Commencement of Activity

Depending on whether you are a sole proprietor or a legal person

Permanent Certificate Code

Please attach: Criminal Record Certificate of the Technical Manager of Assayer-Smelter

Mandatory for Assayer-Smelter activity

Registration Number of the Responsibility Mark (Punch #)

DeclarationIt declares, under oath, that all the requirements and conditions that, under the terms of article 28 of the Legal Regime for Goldsmiths and Assayers, approved by Law no. DL 120/2017, of 15 September, allowed the approval of the aforementioned responsibility mark.

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

Customer Data/Invoice

Name/Company

Address

Postal Code

Town/City

Taxpayer #

Email address

Responsibility Mark – Renewal (right to use) of the responsibility mark – Assayer-Smelter

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Responsibility Mark – Renewal (right to use) of the responsibility mark – Assayer-Smelter