Responsibility Mark – Renewal (right to use) of the responsibility mark – Other Activities Name or Firm of the HolderName or Firm of the HolderNIF/NIPC (VAT ID #)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 proprietorAddress of the registered office or place of business for tax purposes depending on whether you are a legal person or a sole proprietorPostal codePostal codeTown/CityTown/CityAddress or place where the activity is carried outAddress or place where the activity is carried outPostal code of the establishment where the activity is carried outPostal code of the establishment where the activity is carried outLocation of the establishment where the activity is carried outLocation of the establishment where the activity is carried outPhone/Mobile phonePhone/Mobile phoneEmail addressEmail addressDeclaration of Commencement of Activity OR Permanent Certificate CodeDeclaration of Commencement of Activity OR Permanent Certificate CodeSelect an option Declaration of Commencement of ActivityPermanent Certificate CodePlease attach: Declaration of Commencement of ActivityPlease attach: Declaration of Commencement of ActivityDepending on whether you are a sole proprietor or a legal personRemove filePermanent Certificate CodePermanent Certificate CodeRegistration Number of the Responsibility Mark (Punch #)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)Please attach: Power of Attorney or Declaration with powers for the act (Legal Representants/Manager/Administrator/Other)Remove fileCustomer 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
