Registration Request Form 707

FOREIGN PLATFORM OPERATOR IDENTIFICATION

Individual identification number

Name*

Legal status*

Date of establishment*

Address of legal office

Address type*

Country of origin*

City*

Full address*

Phone*

Email*

Country of residence tax identification number*

Other identification codes - Type

Other identification codes - Code

Other identification codes (select above)

VAT number issued by an EU member state*

Yes

No

Member State

VAT Number

Member State VAT numbers (select above)

Web sites*

Member States where the reportable sellers are residents

REPRESENTED BY*

Mandate

Legal representative

Document number

Document date*

Tax Identification Number*

Name*

Surname*

County

City

District

Street

Number

Building

Entrance

Floor

Apartment

Postal code

Phone

Email*

Username*

Password*

Confirm password*

Under the sanctions applied to the act of forgery in declarations, I declare that the data entered in this form are correct and complete

Surname, name of the person filling out the request

Position/Capacity

I agree with the terms and conditions of use of the service:	Terms and conditions
Validation code*