Name of the broadcaster/publication (required field)
Interviewer (required field)
Contact person (required field)
Phone no. (required field)
Mobile (required field)
E-mail (required field)
www address of the broadcaster/publication (required field)
Country (required field)

Forma wywiadu

Press (required field)
Radio (recorded) (required field)
Radio (live) (required field)
TV (recorded) (required field)
TV (live) (required field)

Pozostałe dane

Language of the interview (required field)
Photographer present (required field)
Main subject of the interview (required field)
Individual issues (required field)
Suggested duration (required field)
Suggested date of the interview (required field)
Planned date/hour of publication (required field)
Additional information (required field)
The controller of the data provided in the above form is the Chancellery of the President of the Republic of Poland with the seat in Warsaw, at 10, Wiejska street. The data are processed in order to organise an interview. The data shall be processed based on the below expressed consent for the time of carrying out all activities related to organisation of an interview. More information about the processing of personal data in the Chancellery of the Republic of Poland can be obtained from the tab : www.prezydent.pl/ochrona-danych-osobowych/. For questions concerning personal data protection it is possible to approach the controller of personal data by e-mail at: [email protected] The submission of data is voluntary with the proviso that the submission of data in the fields marked as required are essential to organise an interview.