Rejestracja Sole Trader

Name and surname *

Date of birth *

Place of birth *

Home address *

How long at present address *

Telephone no. *

Has the applicant been fined for or convicted of any criminal offence? *

If yes, please provide details *

Do you want to register System User? *

I, *

company director *

authorize the user *

holding an ID document with the number and series *

to use the system and perform.

Name *

Imię

Nazwisko

Date of birth *

Place of birth *

Home address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Telephone no. *