PRS - Client panel

Dear Sirs,
please send us the below information to be used in preparation of our offer for product’s conformity assessment/inspection.Completion of the application does not mean an obligation to use our services, and no fee will be charged thereupon. Information contained in the application will be treated as confidential.

Notification Body for certification:
Name: Polish Register of Shipping
VAT no: 584-030-44-72
Phone: (+48) 58 75 11 273
E-mail: dc@prs.pl
Adress: al. gen. Józefa Hallera 126, 80-416 Gdańsk
Accreditation number: AC 114

Information on certification requirements as well as Applicants’ rights and responsibilities is available at www.prs.pl

Applicant *

Street/number*

Town*

Zip code*

Country*

Registered in (please specify register name and location): *

under the entry (please specify assigned registry number):

VAT No.: *

Registered in (please specify register name and location): *

Yes

Share capital (if applicable to form of business):

Is the Manufacturer different than the Applicant?*

Yes

Applicant *

Street/number*

Town*

Zip code*

Country*

Registered in (please specify register name and location): *

under the entry (please specify assigned registry number):

VAT No.:*

Registered in (please specify register name and location): *

Yes

Share capital (if applicable to form of business):

EU Directive or UE Regulation: *

RCD

Product to be assessed for its conformity/inspection (please specify): *

Recreational Craft or PWC

Component of a recreational craft

Conformity assessment/inspection module chosen (please specify): *

List of standards and regulations applicable to the product *

Approvals, certificates held by Applicant/Manufacturer *

Applicant’s declarations*

I confirm that I have acknowledged and understood general requirements concerning product certification system/inspection.

I confirm that an application for conformity assessment/inspection was not placed with another notified body.

I undertake to comply with all requirements regarding application for product certification/inspection.

I undertake to supply complete technical documentation of the product and all information indispensible for assessment/inspection of the product.

I confirm that the product presented for certification//inspection was not a subject of cooperation between the Applicant and Polish Register of Shipping (e.g. at designing stage).

Readiness for assessment/inspection *

Upload attachments (accepted: pdf, doc, docx, jpg):

Applicant’s authorized contact person
The Applicant shall familiarize the person authorized for contact with the Information Clause below.

First name *

Last name *

Position *

Email *

Phone number*

Additional recipient (dedicated contact person at PRS S.A.)

Consent to receive commercial and marketing information:

Pursuant to Article 398(1) and (2) and Article 400 of the Act of 12 July 2024 – Electronic Communications Law (Journal of Laws of 2024, item 1221, as amended), in connection with Article 6(1)(a) of the GDPR (where applicable), I hereby consent to receiving commercial information within the meaning of the Act of 18 July 2002 on the Provision of Services by Electronic Means (Journal of Laws of 2024, item 1513, as amended), including direct marketing, regarding services offered by Polski Rejestr Statków Spółka Akcyjna with its registered office in Gdańsk.

Information may be provided via:

email to the address provided in the "Applicant’s authorized contact person" section

telephone (voice call) to the number provided in the "Applicant’s authorized contact person" section

SMS/MMS to the number provided in the "Applicant’s authorized contact person" section

Information on withdrawal of consent
You may withdraw your consent at any time. Withdrawal of consent does not affect the lawfulness of processing based on consent before its withdrawal.

Information Clause for natural persons (also one person companies) and also for persons authorized for contact indicated in p. 10 of this form *

I declare that I have read the information clause and consent to the processing of personal data provided in this document for realising the certification process in agreement with 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).

By completing this form, I confirm that I have read the Privacy Policy of Polish Register of Shipping and accept its terms.