Promoție AlfaSign – Kit Semnătura Electronică

SELECTEAZĂ PRODUSUL

Kit Semnătura Electronică 1 an - 35 EURO Kit Semnătura Electronică 2 ani - 56 EURO Kit Semnătura Electronică 3 ani - 79 EURO

• IDENTIFICARE UTILIZATOR

  Nume *
  Prenume *
  E-mail *
  Data nasterii*

  01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911
  Institutia
  Telefon*

• DATE PERSONALE

  CI
  Pasaport
• CNP*
  Serie*
  Numar*
  Emis la data (zz/ll/aaaa)*

  01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921
  Valabil pana la data (zz/ll/aaaa)

  01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2080 2079 2078 2077 2076 2075 2074 2073 2072 2071 2070 2069 2068 2067 2066 2065 2064 2063 2062 2061 2060 2059 2058 2057 2056 2055 2054 2053 2052 2051 2050 2049 2048 2047 2046 2045 2044 2043 2042 2041 2040 2039 2038 2037 2036 2035 2034 2033 2032 2031 2030 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971
  Act emis de *
• Serie / numar *

  CNP
  Emis la data (zz/ll/aaaa)*

  01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921
  Valabil pana la data (zz/ll/aaaa)

  01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 01 02 03 04 05 06 07 08 09 10 11 12 2080 2079 2078 2077 2076 2075 2074 2073 2072 2071 2070 2069 2068 2067 2066 2065 2064 2063 2062 2061 2060 2059 2058 2057 2056 2055 2054 2053 2052 2051 2050 2049 2048 2047 2046 2045 2044 2043 2042 2041 2040 2039 2038 2037 2036 2035 2034 2033 2032 2031 2030 2029 2028 2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971
  Act emis de *

• ADRESA

  Tara *

  Austria Australia Belgium Bulgaria Cyprus China Czech Republic Denmark Elvetia Estonia Finland France Germany Greece Hungary Ireland Italy Japan Latvia Lithuania Luxembourg Malta Moldova Netherlands Poland Portugal Romania Slovakia Slovenia Spain Sweden Turkey USA Hungary United Kingdom
  Judet/Sector *
  Localitate *
  Strada *
  Numarul *
  Cod Postal
  Bloc
  Scara
  Apartament

• DATE ACCES DISPOZITIV CRIPTOGRAFIC

  Alegeti o combinatie de 8 sau mai multe litere si cifre. MEMORATI ACEASTA PAROLA!
  Parola token *
  Verificare parola token *
  Utilizare token vechi

* Câmpuri obligatorii

 

• DATE FACTURARE

  Persoana juridica
  Persoana fizica
• Nume institutie*

  S.C. P.F.A. Altele S.R.L. S.R.L.-D S.A. S.N.C. S.C.S. S.C.A. Altele
  Numar ONRC (ex: J40/20765/2002)

  J C F / /
  CUI*
  Platitor de TVA
• Nume si prenume *
  CNP *
  Serie*
  Numar*
• Banca
  Cont bancar

• ADRESA DE FACTURARE

  Adresa de facturare coincide cu adresa din buletin
  Tara *

  Austria Australia Belgium Bulgaria Cyprus China Czech Republic Denmark Elvetia Estonia Finland France Germany Greece Hungary Ireland Italy Japan Latvia Lithuania Luxembourg Malta Moldova Netherlands Poland Portugal Romania Slovakia Slovenia Spain Sweden Turkey USA Hungary United Kingdom
  Judet/Sector *
  Localitate *
  Strada *
  Numarul *
  Cod Postal
  Bloc
  Scara
  Apartament

• ADRESA DE LIVRARE

  Adresa de livrare coincide cu adresa din buletin
  Adresa de livrare coincide cu adresa de facturare
  Ridicarea certificatului se va face de la sediul AlfaTrust
  Tara *

  Austria Australia Belgium Bulgaria China Cyprus Czech Republic Denmark Elvetia Estonia Finland France Germany Greece Hungary Ireland Italy Japan Latvia Lithuania Luxembourg Malta Moldova Netherlands Poland Portugal Romania Slovakia Slovenia Spain Sweden Turkey USA Hungary United Kingdom
  Judet/Sector *
  Localitate *
  Strada *
  Numarul *
  Cod Postal
  Bloc
  Scara
  Apartament

* Câmpuri obligatorii