Order E-seal qualified digital certificate

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1INFORMATION ABOUT LEGAL ENTITY

Please fill in the following information:

Name of legal entity:

Address of legal entity:

City and zip code:

Business identification number:

VAT number:

Mobile phone:

E-mail:

Title of information system or department

Name and surname of legal representative:

I understand the terms and conditions of usage of Halcom d.d. website contained in the Privacy Statement. Halcom d.d. does not store the information entered into this form.

Please send me the smart card or USB key to the following address: Registered address of legal entity: Other address:

Delivery address:

Please mark the media on which you wish to receive the digital certificate.

Smart card (€115,00)

USB key (€130,00)

SOFT (€285,00)

2DOWNLOAD FILES

DOWNLOAD ALL FILES

3SUBMISSION OF FORMS AND PERSONAL IDENTIFICATION

The legal representative of the legal entity submits signed printouts of the following forms:

Overall request form
Extract from a business register, not older than 60 days

in one of the following ways::

Halcom d.d.

Notary public or Administrative Unit