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Travel Reimbursement Scheme for Patients undergoing Cancer Treatment at Mater Dei Hospital

I wish to submit a request for a refund for the following fares paid in connection with my cancer treatment at Sir Anthony Mamo – Oncology Centre - Mater Dei Hospital

Patient Details

Parent/Guardian Details(if patient is under 16 yrs)

Payment Details

Gozo Channel Tickets
Please scan and upload the Gozo Channel Tickets:
Hospital attendance form
Please scan and upload the attendance form that is issued by the hospital:

Disclaimer: This application is applicable ONLY to Gozo Residents and only one ticket per crossing is refundable. Personal information provided on this form is protected and used in accordance with the provisions of the Data Protection Act (Cap. 440).