Panel organizatora: rejestracja

Create an account and sell tickets!

Dear organizer, to start your lucrative adventure of the ticket sales leader with PanBilet and gain access to the panel, you must first register your individual organizer account. Before doing this, however, please contact us first by e-mail [email protected] or by phone +48 572 259 066 in order to get to know the offer and the possibilities of the whole system. When you find our offer good enough, complete the form below and verify your account by following the instructions below. Attention! If you have any questions about individual items or do not know how to fill out the form correctly, please contact us before saving the form - we will try to help you quickly...

Users account

E-mail adress:

Account Password:

Hasło musi mieć co najmniej 10 znaków, składać się z jednej cyfry, dużej i małej litery oraz znaku specjalnego!

Repeat password:

Phone number:

Entity details

Type of entity:

E-mail adress:

Account domain:

.panbilet.en

Phone number:

Full name:

HQ adress:

Postal code and city:

Country and province:

Account number (IBAN):

SWIFT code:

Settlement system:

Tax ID:

KRS number:

Is it a quoted company?

Is it a financial services?

Legal form:

Name of the commercial register:

Company registration date:

Details of the person representing the entity

Name:

Surname:

PESEL number:

Date of birth:

Country of birth:

Citizenship:

Document type:

Document number:

Document expiration date:

Country of issue of the document:

Individual data

Name:

Surname:

PESEL number:

Date of birth:

Country of birth:

Citizenship:

Document type:

Document number:

Document expiration date:

Country of issue of the document:

declare that I act as a proxy

I accept all the consents below!

Regulations of brokerage in the sale of PanBilet.pl

I declare that I accept the Regulations and Terms of using online payments supported by Blue Media S.A.

I declare that the data provided in the form are true, registration documents, ID card or other identity document and I undertake to notify Blue Media S.A. on any change in the data contained in the form. At the request of Blue Media S.A. I undertake to provide documents confirming the ownership structure of the entity and the details of the actual beneficiary, e.g. a copy of the National Court Register, organizational structure, copies of: company agreements, articles of association, proof of listing on the stock exchange, identity documents of persons representing the customer and real beneficiaries.

Zobowiązuję się niezwłocznie poinformować, w imieniu Blue Media S.A., wymienionych wyżej beneficjentów rzeczywistych, że Blue Media S.A. z siedzibą w Sopocie, ul. Powstańców Warszawy 6, jest Administratorem danych osobowych beneficjentów rzeczywistych i będzie przetwarzać ich dane osobowe w powyższym zakresie w celu spełnienia obowiązku wynikającego z art. 34 ust. 1 pkt. 2 ustawy o przeciwdziałaniu praniu pieniędzy i finansowaniu terroryzmu oraz na podstawie art. 6 ust. 1 lit. c Rozporządzenia Parlamentu Europejskiego i Rady (UE) 2016/679 z dnia 27 kwietnia 2016 r. w sprawie ochrony osób fizycznych w związku z przetwarzaniem danych osobowych i w sprawie swobodnego przepływu takich danych oraz uchylenia dyrektywy 95/46/WE (ogólne rozporządzenie o ochronie danych). Zobowiązuję się również do umożliwienia zapoznania się beneficjentów rzeczywistych z Polityką prywatności Blue Media S.A..

I declare that the client is not a Person Holding an Exposed Political Position within the meaning of the Act on Counteracting Money Laundering and Terrorist Financing.
I make this statement under pain of criminal liability for providing data inconsistent with the state.
A person holding prominent political positions - it means natural persons:
a) heads of state, heads of government, ministers, deputy ministers or deputy ministers, members of parliament, judges of the supreme courts, constitutional tribunals and other bodies judicial decisions whose rulings are not subject to appeal, except for extraordinary procedures, members of the court of auditors, members of the boards of central banks, ambassadors, chargés d'affairs and senior officers of the armed forces, members of the management or supervisory bodies of state enterprises - who exercise or exercise and these public functions during the year from the date of ceasing to meet the conditions specified in these provisions,
b) the spouses of the persons referred to in point a, or persons living together with them, parents and children of the persons referred to in point. a, the spouses of those parents and children or persons living together with them,
c) who remain or have remained with the persons referred to in point. a, in close professional or economic cooperation, or are joint owners of legal entities, as well as the only entities entitled to the property of legal entities, if they were established for the benefit of those persons residing outside the territory of the Republic of Poland.

Proxy details

Name:

Surname:

PESEL number:

Date of birth:

Country of birth:

Citizenship:

Document type:

Document number:

Document expiration date:

Country of issue of the document:

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