On-line application for the "Polish Champion", "Polish Junior Champion"
or "Polish Veteran Champion" title.

Attention!
From January 1st, 2015 the diploma will be issued upon receiving the fee of 30 Euros.

Banking account number (EUR):
Beneficiary: Zwiazek Kynologiczny w Polsce
IBAN: PL69124067681111001097176809
SWIFT: BIGBPLPW
Bank name: PEKAO S.A.


I agree to the processing of personal data by the Polish Kennel Club based in Warsaw (address: 00-024Warszawa, Aleje Jerozolimskie 30/11) to service the application for the title "Polish Champion", "Polish Youth Champion" or "Polish Veteran Champion" "," Grand Champion ". Provision of data is voluntary, but necessary to enable processing of the application for the title of "Polish Champion", "Polish Youth Champion" or "Polish Champion of Veterans", "Grand Champion". I have the right to access data, correct data, delete data, limit data processing, raise objections, submit complaints to the supervisory authority. The full text of the information clause can be found here (link).

I agree:  
Please for the title:  

on the basis of certificates CWC (Polish Champion), title "Junior Winner" (Polish Junior Champion) from the following shows:

Show/Place:
  Date:   Catalogue No:
Show/Place:
  Date:   Catalogue No:
Show/Place:
  Date:   Catalogue No:


for example  
Show/Place:  International, Warszawa     Date:  22-23.07.2010     Catalogue No:  125

DOG / BITCH

Breed
    
Sex
    

Name of the dog/bitch
    

Pedigree No

    

Attention! Pedigree number is required for each dog.
Owner of the dog/bitch (name, first name)
    


Address

Post code, city
    

street, number
    
Phone number
    

E-mail
    
Comments
    
Date
    

Signature (name, first name)