Formularze

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Listing Department
Warsaw Stock Exchange

Entry for an examination
for candidates for certified advisers
in the alternative trading system

Application of an Authorised Adviser or an entity seeking an entry into the Register of Authorised Advisers

Application of an individual candidate

Date of the examination:

First and last name of the candidate:

Contact telephone number:

E-mail address:

Address of residence:

Mailing address:

Place of employment (for individual candidates):

The entrant agrees to pay the examination fee.

The fee should be paid to the bank account of the Warsaw Stock Exchange, account no.: 96 1240 6003 1111 0000 4946 2733.

Date:

Signature of the candidate /signature and stamp of the authorised person:

The administrator of personal data is the Warsaw Stock Exchange, ul. Książęca 4, 00-498 Warsaw, tel. +48 22 628 32 32, gpw@gpw.pl.

Contact to the Data Protection Officer iodgkgpw@gpw.pl.

The data will be processed for the purpose of conducting the examination in accordance with Regulation (EU) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46 (Regulation on the protection of personal data).

Processing is necessary for the examination (Article 6 (1) (b) of the Personal Data Protection Regulation).

Providing data is a condition for admission to the exam, and failure to do so will make it impossible to participate in the exam.

The data will be stored for the period necessary to organize the exam and the limitation of any claims. Each person has the right to request access to their personal data, rectification, deletion, limitation of processing and their transfer.

Each person has the right to lodge a complaint with the President of the Office for Personal Data Protection, to object to the processing of their personal data.

Data for a VAT invoice

Company name / Candidate’s first and last name (for individual enrolment):

Address of the registered office / address of the place of residence (for individual enrolment):

VAT NUMBER:

Hardcopy

to the registered address, as written above, or

to the mailing address – enter below

specify any additional information that should be inserted in the invoice:

Electronic version

Acceptance of electronic invoices

Acting pursuant to art. 106n of the Act of 11 March 2004 on the Value Added Tax (Journal of Laws 2021.685 consolidated text of 14.04.2021, as amended), I accept electronic invoices from the Warsaw Stock Exchange.

E-invoices, correction e-invoices, duplicate e-invoices, accounting e-notes, reminders, calls for payment will be sent electronically as PDF files to the following e-mail address(es) (no more than 2 e-mail addresses):

In the event of any change of the address(es) written above, I shall notify WSE of such change in writing or by e-mail.

If any formal or technical obstacles prevent the issuance and transmission of invoices or above mentioned documents in electronic form, then invoices or above mentioned documents will be sent in a hard copy.

This acceptance may be revoked at any time. The WSE should be notified thereof in writing or in electronic form (at the address: faktury@gpw.pl). However, in such case, I shall agree with WSE in writing or in electronic form the date as of which the WSE may no longer send invoices in electronic form, which may not be longer than 30 days after the day following the date of the WSE’s receipt of the revoked acceptance.

Date:

Signature of the candidate /signature and stamp of the authorised person:

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