CENTER FOR ALTERNATIVE DISPUTE RESOLUTION "CONSENSUS"

Application

BANK ACCOUNT

CADR CONSENSUS
IBAN BG65BUIN95611000226382
Allianz bank Bulgaria- Varna Branch

Brief description /title of the application/ *

Name, surname and family name /for persons/ OR name/legal entity/ of the applicant *

Uniform Identification Number/Personal Identification Number/address/phone number of the applicant *

Email of the applicant *

Name, surname, family name /PL/ OR name /legal entity/ of the respondent to the application *

Identification Number* for legal entities/Personal Identification Number/for persons, address, phone number of the respondent to the application

Email of the respondent to the application *

Please select the category of the alternative dispute resolution procedure you wish to use *

Describe in detail all the circumstances of the dispute:

Indicate how you would like your problem to be resolved /what outcome would satisfy you/

Please attach scanned evidence you have in connection with the dispute (PDF/WORD/image, up to 8MB in size) *

I attach a document for bank transfer for the fee of of 60leva/30 Euro *

I agree that my data will be processed and stored in accordance with the Personal Data Protection Act

I agree to receive messages related to my inquiry

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