General data

Company Name*

Country of the Tax Identification Number (VAT)*

VAT Number - Tax identification number / Collective person*

Type of Company

Headquarters Address*

Zip Code Headquarters*

Country Headquarters*

District

County Headquarters

City

Telephone*

Fax

Share Capital*

NACE Code*

Web Address*

Certificate of incorporation on line code*

Upload Certificate of Incorporation*

Registered Office

Company Notification Data

Legal Representative*

Email*

Address*

Zip Code*

City*

Country*

Company Contact Information For Submission of Declaration

Name*

Function

Telephone

Mobile Phone

Email*

Address

Zip Code

City

Country

Company Contact Information for Shipping Billing

Name

Telephone

Email

Address

Zip Code

City

Country

SCOPE OF THE TRANSFER OF RESPONSIBILITY

Streams to be transferred to ERP Portugal

Batteries and Accumulators Portables Date of first put/making available on the Portuguese market AND/OR date of the transfer of the responsibility to ERP Portugal

Batteries and Accumulators Industrials Date of first put/making available on the Portuguese market AND/OR date of the transfer of the responsibility to ERP Portugal

Electrical and Electronic Equipment Date of first put/making available on the Portuguese market AND/OR date of the transfer of the responsibility to ERP Portugal

Temperature exchange equipment
Screens, monitors, and equipment containing screens having a surface greater than 100 cm2
Lamps
Large equipment (any external dimension more than 50 cm) including, but not limited to
Small equipment (no external dimension more than 50 cm) including, but not limited to
Small IT and telecommunication equipment (no external dimension more than 50 cm)

General Data Protection Regulation

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* Mandatory fields