Application for membership - Progressive Slovakia

Name

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Last Name

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Date of birth

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Enter date in the form DD.MM.YYYY

Street (permanent residence)

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City

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ZIP code

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Citizenship

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E-mail

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Phone number

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Job position

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Please describe the reasons and internal motivation for joining the political movement Progressive Slovakia:

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Have you been a member of a political party/movement or a candidate for a member of a political party/movement in the past?

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Have you performed or are performing a public function or function in an organization established by law, state, or self-governing unit (municipality, local government), resp. with the participation of the state or self-governing unit?

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Have you run for election as a political party candidate or with the support of a political party?

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Is it possible to identify facts from your past that are in conflict with the basic values of PS? Mention also all facts concerning your person that could be relevant from the point of view of assessing transparency and ethics in professional, business or social life, in particular, but not only, possible mediated cases, litigation, investigations, or administrative proceedings related to e.g. suspicions of accepting or offering a bribe, indirect corruption or transparency in the performance of employment/profession, function, business (including companies in which you have or have been a statutory/supervisory body or in which you are or have been a partner).

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Signed structured professional CV
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HONORARY STATEMENT OF AN INTERESTED IN MEMBERSHIP IN THE POLITICAL MOVEMENT PROGRESSIVE SLOVAKIA

I HONORALLY DECLARE THAT:

(i) I meet the general requirements for membership in the political movement Progressive Slovakia (hereinafter also "PS"), i. I have reached the age of 18, I have full legal capacity, I am not in any form a member of another political party or political movement and at the same time I am a citizen of the Slovak Republic with permanent residence in the Slovak Republic or a citizen of another Member State of the European Union on place of Slovak Republic;

(ii) they are familiar to me and identify with the basic values and programmatic goals of the Progressive Slovakia political movement;

(iii) I am innocent and have not been convicted of a criminal offense in the past, as evidenced by an extract from the criminal record, nor are I currently being prosecuted;

(iv) all information provided in the questionnaire and the application form for a founding member of the PS political movement and the attached curriculum vitae are true, complete to the extent stated and I have not concealed any material circumstance for the assessment of the application;

(v) I was not a State Security officer or a State Security Associate (resident, agent, informant, borrower or conspirator's apartment) between 25 February 1948 and 31 December 1989.

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I consent to the processing of personal data: here you will find Information on the processing and protection of personal data

I consent to the processing of my personal data

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I consent to receiving email marketing communication. I consent to the personalization of online marketing.

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I want to join local branch

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Application for membership in the political movement Progressive Slovakia

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