Application form for accommodation and use of facilities at the Polish Polar Station Hornsund

Section 1
Information about the applicant

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

Planned period of stay at the station
From
Till

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

Planned use of facilities

Facilities
Period
Planned user (name and surname)

Inflatable boat with engine
Planned period of use
From
Till

Add another period

Aluminium boat with engine
Planned period of use
From
Till

Add another period

Snowmobile with sled
Planned period of use
From
Till

Add another period

220V portable generator
Planned period of use
From
Till

Add another period

VHF radiotelephone
Planned period of use
From
Till

Add another period

Rifle
Planned period of use
From
Till

Add another period

Shotgun
Planned period of use
From
Till

Add another period

Flare gun
Planned period of use
From
Till

Add another period

Other equipment and devices

Type and quantity

Planned period of use
From
Till

 


Cartridges

Type and quantity

Planned period of use
From
Till

 


Fuel and oil

Type and quantity

Planned period of use
From
Till

 




 

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