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Dating back to at least the early fifteenth century, this surname is most likely connected with the sacred Muslim city of Qayrawân in Tunisia, with al-karawani referring to a "native or immigrant" from this city.

Alternatively, it could originate from the Siculo-Arabic caruana, meaning "a group of people or workers" or the Arabic kârwân, meaning "a caravan of camels, as well as horses and donkeys".

The symbol of the cross on an azure (blue) chief indicates that the family is Christian while the flames represent purity

An image linked to a dedicated page about the Maltese surname Caruana.
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