Application form

According to the Platon Group non-profit organization statues, I'm applying for registered membership.

Firstname & surname
Preffered username
Contact e-mail
Permanent address
Street
City
Postal code
State
Country
Temporary address
Street
City
Postal code
State
Country
Phone
Alternative e-mail
Employment
School, study focus
Language skills
Interests
Computer knowledge
I would like to be included into the group members mailinglist Platon Group <platon@lists.platon.sk>	ÁnoNie

With my signature I engange to fulfil obligations related from Platon Group non-profit organization statues and I also agree with processing my personal information according to Slovak law of private data protection in information systems.

Zadajte koľko je 1+2 / Enter how much is 1+2