Gozo Teleworking Scheme

Fill in the form underneath to apply
Section A

Company Information
Business Name:*
Business Sector:*
Business Address:*
Postcode:*
Employer/Contact person name:*

Employer/Contact person ID card No.:*
Email address:*
Company IBAN No.:*
Telephone Number:*
Company Registration Number:*
Date:*

Section B
I. Employee Information
Surname:*
First Name:*
ID Card:*
NI Number:*
Address:*
Postcode:*
Telephone Number:*
Mobile Number:*
Commencement of Employment:*
Job Title:*
Contract Type:*
Yearly Gross Income:*
Date:*


II. Documents to be attached
Job Engagement Contract:*
Copy of ID Card:*
Personal Employment History (Acquired via Jobsplus):*
Teleworking Year Plan:*
Teleworking agreement between Employer and Employee:*
Section C
Declaration:*

Technological and Capital Investment Declaration:*

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