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Hegelmann Transporte sp. z.o.o.

Tel: +48 34 3444 905

Kucelińska 22 Fax: +48 34 3444 906

42-202 Częstochowa E-Mail: info@hegelmann.pl

Carrier Application Formular


Company Name(s): Balist Logistic Kft.
Director: Balisztovszkij István
Country: Hungary
PC (ZIP) + City: 4400, Nyiregyháza
Street + House Number: Körte u. 3 ½
Fax Number: +36702280914
Web Page: www.balistlogistic.com
E-Mail adress: Balistovskiy.ishtvan@balistlogistic.com

Letterhead
Please provide a copy of your Letterhead with VAT No.!
VAT Registration No.: HU26281179
Date of Company Registration: 2018.02.13
How many own vehicles do you have? 7
Do you subcontract work to other hauliers? Yes.

Licence
Please provide a copy of you EU Licence!

Insurance
Please provide a copy of your CMR Insurance Certificate!
Maximum amount of damage covered: 400 000
Valid until: 2021.04.14
Please provide a copy of your Public Liability insurance!
State Maximum Amount of Cover:
Valid until:

Signed: _______________________ Date: __21.01.2021________

Name in Capitals: Balisztovszkij Istvan Company Stamp: ______________

Position: __Niregyhaza, Hungary_

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