Company Information Sheet - Template PDF
Company Information Sheet - Template PDF
Company
Company name
Company Registration number
REGON
NIP
Tax Identification Number
(TINs) with country of Issuance
Phone’s
Mobile
Company address (country,
postal code District / Town /
City, street name, building / flat
number)
Legal address (country, postal
code District / Town / City,
street name, building / flat
number)
Business activity register
E-mail
Web page if any
Legal Representative
Title
First name
Last name
Data of birth
Position
Telephone number
E-mail address
Contact person
Title
First name
Last name
Telephone number
E-mail address
I also declare to notify WSB University of any changes that might occur in the future
…………………………………… ……………………………....
Date signature
…………………………………….
Company stamp
I have been informed that:
1. The Controller of Data collected to achieve the indicated objective is:
Akademia WSB (WSB University) with its registered office in Dąbrowa
Górnicza at ul. Cieplaka 1 c
2. The Data Controller has appointed the Data Protection Officer, who can be
contacted at the Data Controller's office and by e-mail: iod@wsb.edu.pl
3. Data collected by the Data Controller may be made available only to
recipients that are authorized by law to process them
4. Personal data will not be transferred to a third country.
5. Personal data will be processed for a period of 5 years.
6. No profiling will be undertaken based on the data collected.
…………………………………… ……………………………....
Date signature
…………………………………….
Company stamp