Registration by user - RetSys by MOLPIR

Registration

Verification on portal

User name (*)

ID of device (*)

Phone number of SIM (*)

Legal Entity

Legal Entity Private Entity

Company (*)

Contact email to your company (*)

Company identification number (*)

VAT reg. number (*)

Company address - street, number (*)

City of your company (*)

Postal code of city (*)

State of company (*)

Are your shipping address differ from billing?

Street of your company shipping centre (*)

City of your company shipping centre (*)

Postal code of city of company shipping centre (*)

State of company shipping centre (*)

Registration of new user

Your titles

Your first name (*)

Your last name (*)

Your address (street, number) (*)

Your city (*)

Postal code of your city (*)

Your address (state) (*)

Your mobile phone number

Your phone number

Your e-mail address (*)

Your fax number

Information about vehicle

Type of vehicle (*)

Brand (*)

Model (*)

VIN (*)

Plate Number

Color

Year of production

Date of evidence

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I note, that my personal data will be subject of further necessary processing. This data will not be provided to third parties