Formular Inregistrare - Identificare Video ANEVAR - IT services esemnatura

Personal data

*Surname

*Given names

*Mobile phone

*E-mail

*ANEVAR badge number

Home and Delivery address

*Сity

*Postal code

*Street

*Number

*Apartment

I want delivery to an address other than my home address

*Сity

*Postal code

*Street

*Number

*Apartment

I want the invoice to be issued to the legal entity. The qualified digital certificate will not include the name of the legal entity.

*VAT Attribute

*CUI firma

*Billing company

*Billing address

*Knowing the provisions of the Criminal Code regarding false statements, false identity and false information I declare on my own responsibility that the data provided in the registration form are complete and real and my identity card that I will present during the verification and identification session is original.

* I agree that with the delivery of the Electronic Signature Kit or the renewal of the certificate, I will lose my right of withdrawal provided by GEO 34/2014 and that placing the order implies my obligation to pay for the ordered services.

*I agree with the video identification process in order to obtain the qualified digital certificate, and I agree to my photos and captured images of me and my identity document being stored and used, and I have been informed about the processing of this data.

*I agree with a General Terms and Conditions on the provision of certification services for qualified digital certificates according to Regulation (EU) no. 910/2014."

*I agree with General Conditions applicable to orders sent to the https://esemnatura.md/ platform.

I agree to receive commercial communications from DigiSign about Digisign products, services and promotions.

Formular Inregistrare – Identificare Video ANEVAR