Zapisy na kursy języka polskiego rok 2023-24
Dane kandydatów na kurs języka polskiego jako obcego 
Sign in to Google to save your progress. Learn more
Imię i nazwisko/Name and surname  *
Adres zamieszkania/Home address
*
Adres do korespondencji/Correspondence  address
*
 Numer telefonu/Phone number
*
 Email/Email address
*
Data i miejsce urodzenia/Date and place of birth 
*
Numer paszportu/Passport number
*
Jaki jest Pana/Pani poziom języka polskiego?/What's your level of Polish language? 
*
Proszę wybrać jeden z oferowanych przez nas kursów/Please, choose one of offered courses:
*
Miejsce w akademiku/Accommodation in dormitory 
*
GDPR REGULATION  Pursuant to Article 13 of Regulation of the European Parliament and of the Council (EU) 2016/679 of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data and the repeal of Directive 95/46/EC (hereinafter: GDPR) Pedagogical University of Kraków informs that:-The administrator of your data is the Pedagogical University of  Kraków ul. Podchorążych 2, 30-084 Kraków.- The administrator has appointed a Data Protection Officer supervising the correctness of data processing, who can be contacted via email: iod@up.krakow.pl, phone:/12/662 62 06- Your personal data will be processed only for purposes related to the participation in the polish language course on the basis of the given consent.- Your personal data will be  stored  for 50 years.- You have the right to access your personal data, correct it, erasure or limit its processing or the right to object to the processing as well as the right  to data portability.- You have the right to withdraw your consent at any time. Withdrawal of consent does not affect lawfulness of the processing that was carried out on the basis of consent before its withdrawal.- You have the right to lodge a complaint with the President of the Office for Personal Data Protection.- Your personal data is not subject to automated decision-making, including profiling. 
*
I hereby agree for processing my personal data included in the application form, by the Pedagogical University of Kraków for the purposes related to the polish language course organization in accordance with the Regulation (EU) 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) and according to the Information Clause attached to this consent.I acknowledge that I have read the attached/abovementioned Information Clause and I am aware of my rights.
*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report