Application form for access to the expedition vessel for transport of people Posted on July 22, 2022 by Dagmara Bartniak Section 1 Information about the applicant Name (required) Surname (required) Affiliation (required) Email address (required) Telephone number Invoice information Company Natural person Company name: Company address: Tax identification number: Name and surname: Address of residence: 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 Cruise 1 From: Poland Hornsund Longyearbyen Ny-Alesund Petunia Kaffioyra Bellsund To: Hornsund Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Longyearbyen Petunia Kaffioyra Ny-Alesund Bellsund Hornsund Poland To: Bellsund Hornsund Poland To: Hornsund Poland To: Petunia Kaffioyra Bellsund Hornsund Poland To: Kaffioyra Bellsund Hornsund Poland Add another route Cruise 1: another route From: Poland Hornsund Longyearbyen Ny-Alesund Petunia Kaffioyra Bellsund To: Hornsund Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Bellsund Hornsund Poland To: Hornsund Poland To: Petunia Kaffioyra Bellsund Hornsund Poland To: Kaffioyra Bellsund Hornsund Poland Cruise 2I From: Poland Hornsund Ny-Alesund Longyearbyen To: Hornsund Longyearbyen To: Longyearbyen Poland To: Hornsund Poland Add another route Cruise 2: another route From: Poland Hornsund Ny-Alesund Longyearbyen To: Hornsund Longyearbyen To: Longyearbyen Poland To: Hornsund Poland Add another person APPLICATION FOR ANOTHER PERSON 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 Cruise 1 From: Poland Hornsund Longyearbyen Ny-Alesund Petunia Kaffioyra Bellsund To: Hornsund Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Bellsund Hornsund Poland To: Hornsund Poland To: Petunia Kaffioyra Bellsund Hornsund Poland To: Kaffioyra Bellsund Hornsund Poland Add another route Cruise 1: another route From: Poland Hornsund Longyearbyen Ny-Alesund Petunia Kaffioyra Bellsund To: Hornsund Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Bellsund Hornsund Poland To: Hornsund Poland To: Petunia Kaffioyra Bellsund Hornsund Poland To: Kaffioyra Bellsund Hornsund Poland Cruise 2 From: Poland Hornsund Ny-Alesund Longyearbyen To: Hornsund Longyearbyen To: Longyearbyen Poland To: Hornsund Poland Add another route Cruise 2: another route From: Poland Hornsund Ny-Alesund Longyearbyen To: Hornsund Longyearbyen To: Longyearbyen Poland To: Hornsund Poland Add another person APPLICATION FOR ANOTHER PERSON 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 - Kaffioyra - Longyearbyen - Hornsund – Poland Cruise 2 Route: Poland – Hornsund - Longyearbyen - Ny-Alesund - Longyearbyen - Horsund - Poland Cruise 1 From: Poland Hornsund Longyearbyen Ny-Alesund Petunia Kaffioyra Bellsund To: Hornsund Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Bellsund Hornsund Poland To: Hornsund Poland To: Petunia Kaffioyra Bellsund Hornsund Poland To: Kaffioyra Bellsund Hornsund Poland Add another route Cruise 1: another route From: Poland Hornsund Longyearbyen Ny-Alesund Petunia Kaffioyra Bellsund To: Hornsund Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Longyearbyen Petunia Kaffioyra Bellsund Hornsund Poland To: Bellsund Hornsund Poland To: Hornsund Poland To: Petunia Kaffioyra Bellsund Hornsund Poland To: Kaffioyra Bellsund Hornsund Poland Cruise 2 From: Poland Hornsund Ny-Alesund Longyearbyen To: Hornsund Longyearbyen To: Longyearbyen Poland To: Hornsund Poland Add another route Cruise 2: another route From: Poland Hornsund Ny-Alesund Longyearbyen To: Hornsund Longyearbyen To: Longyearbyen Poland To: Hornsund Poland 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.
