Polish Polar Station Hornsund - Application form for access to the expedition vessel for transport of cargo

Section 1
Information about the applicant

Name (required)

Surname (required)

Affiliation (required)

Email address (required)

Telephone number

Invoice information
Company
Natural person

Section 2
Information about cargo listed in the application for transport

Name of person responsible for cargo (required)

Surname of person responsible for cargo (required)

Name of institution

Email address (required)

RiS number

Choice of cruise:
Cruise 1
Route: Poland – Hornsund – Longyearbyen – Ny-Alesund – Petunia – Kaffioyra – Bellsund – Longyearbyen – Hornsund – Poland
Cruise 2
Route: Poland – Hornsund – Longyearbyen – Ny-Alesund – Longyearbyen – Hornsund - Poland

Add additional cargo

I agree to send cargo specification to polar@igf.edu.pl no later than 10 days before the vessel’s departure from Poland for a given voyage. (required)

Additional comments:

Personal data of persons completing the application form are administered by the Institute
of Geophysics PAS, based in Warsaw, at ul. Księcia Janusza 64. The provision of personal data is voluntary and data subjects have the right to access, rectify or erase their personal data as well as to restrict data processing, object against data processing, withdraw consent for data processing or file a complaint to a data protection controlling authority. The data protection officer of the Institute of Geophysics PAS can be contacted by e-mail at: iod@igf.edu.pl.

DECLARATION
According to Art. 6.1(a) of Regulation (UE) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation, OJ.UE.L.2016.119.1 of 4 May 2016), I hereby give consent to the Institute of Geophysics, Polish Academy of Sciences, based in Warsaw at ul. Księcia Janusza 64, to process the personal data I provided during the process of submitting the application form for access to the expedition vessel for transport of cargo.

[recaptcha size:compact]

Section 1
Information about the applicant

Name (required)

Surname (required)

Affiliation (required)

Email address (required)

Telephone number

Invoice information
Company
Natural person

Section 2
Information about person(s) listed in the application for transport

Name (required)

Surname (required)

Name of institution

Email address (required)

RiS number

Choice of cruise:

Cruise 1
Route: Poland – Hornsund – Longyearbyen – Ny-Alesund – Petunia – Kaffioyra – Bellsund – Longyearbyen – Hornsund – Poland

Cruise 2
Route: Poland – Hornsund – Longyearbyen – Ny-Alesund – Longyearbyen – Hornsund - Poland

Add another person

Additional comments:

Personal data of persons completing the application form are administered by the Institute
of Geophysics PAS, based in Warsaw, at ul. Księcia Janusza 64. The provision of personal data is voluntary and data subjects have the right to access, rectify or erase their personal data as well as to restrict data processing, object against data processing, withdraw consent for data processing or file a complaint to a data protection controlling authority. The data protection officer of the Institute of Geophysics PAS can be contacted by e-mail at: iod@igf.edu.pl.

DECLARATION
According to Art. 6.1(a) of Regulation (UE) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation, OJ.UE.L.2016.119.1 of 4 May 2016), I hereby give consent to the Institute of Geophysics, Polish Academy of Sciences, based in Warsaw at ul. Księcia Janusza 64, to process the personal data I provided during the process of submitting the application form for access to the expedition vessel for transport of people.

Section 1
Information about the applicant

Name (required)

Surname (required)

Name of institution (required)

Email address (required)

Telephone number

Invoice information
Company
Natural person

Section 2
Information about person(s) listed in the application for accommodation and use of facilities at the Polish Polar Station Hornsund

Name (required)

Surname (required)

Name of institution

Email address (required)

Source of funding (name of project / grant / research, etc.)

RiS number

Planned period of stay at the station
From
Till

Add another person

Section 3
Information about the planned use of facilities at the station

Planned use of facilities

Additional comments:

Personal data of persons completing the application form are administered by the Institute
of Geophysics PAS, based in Warsaw, at ul. Księcia Janusza 64. The provision of personal data is voluntary and data subjects have the right to access, rectify or erase their personal data as well as to restrict data processing, object against data processing, withdraw consent for data processing or file a complaint to a data protection controlling authority. The data protection officer of the Institute of Geophysics PAS can be contacted by e-mail at: iod@igf.edu.pl.

DECLARATION
According to Art. 6.1(a) of Regulation (UE) 2016/679 of the European Parliament and of the Council of 27 April 2016 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, and repealing Directive 95/46/EC (General Data Protection Regulation, OJ.UE.L.2016.119.1 of 4 May 2016), I hereby give consent to the Institute of Geophysics, Polish Academy of Sciences, based in Warsaw at ul. Księcia Janusza 64, to process the personal data I provided during the process of submitting the application form for accommodation and use of facilities at the Polish Polar Station.