Application Form for the authorised person

User data

Company's EORI number
Company's name
Address
Country
Place
Web site
Digital certificate for message encryption	Serial No:

User status:

Carrier of goods
Forwarding agency
Software developer

Eligible person data

Name, surname
Position, grade
E-address

Authorised person data:

Name, surname
E-address

Authorised person qualified digital certificate data

Serial number
Certification authority (Halcom, Postarca)
CN ali OU
Subject
CN

We hereby authorise the Customs Administration of the Republic of Slovenia to register the authorised person for managing our e-business with the Slovenian Customs on our behalf.

Place , date

(signature)

stamp (name and surname of the eligible person)

The form refers to a natural person to be authorised for dealing the user's e-business with the Slovenian Customs and who is the holder of the qualified digital certificate.

The “self-signed« digital certificate can also be used for e-message encryption.

The eligible person is the legal representative of the user or the person who is authorised to represent the legal representative.

Prijava digitalnega potrdila za poslovanje v imenu podjetja

MOJCAR

2015-08-18

Milan Kušer

CURS