Gozo Back Office Employment Refund Scheme 2021

Fill in the form underneath to apply
Section A
I. Company Information
Business Name:*
Business Sector:*
Business Address:*
Postcode:*
Telephone Number:*
Company Registration Number:*
Payer P.E. Number:*
Business address in Gozo:*
Business address outside Gozo:
Date:*
IBAN Number:*
Swift Code:*

II. Employer's Information
Surname:*
First Name:*
ID Card:*
NI Number:*
Address:*
Postcode:*
Telephone Number:*
Mobile number:*
Email Address:*


III. Employee's Information
Surname:*
First Name:*
ID Card:*
NI Number:*
Address:*
Postcode:*
Telephone Number:*
Mobile number:*
Commencement of Employment:*
Job Title:*
Contract Type:*	DefiniteIndefinite
Year Gross Income:*
Date:*




II. Documents to be attached
Section B
Proof that the applicant’s business concern has a registered address in Gozo from where back-office operations are carried out:*

A copy of the Employment Contract, as well as the JobsPlus Employment History of each employee that is being applied for:*

A copy of the Identity Card for each employee that is being applied for:*


Section C
Declaration:*
Note: Download, print, fill in and upload the document named Declaration* found at the top of this page*
Section D
State Aid Declaration:*
Note: Download, print, fill in and upload the document named State Aid Declaration* found at the top of this page*