Please fill in the application

Applications submitted online are to be authorised in person at COK (Customer Service Centre)
by producing the ID card and signing the application form. A photograph of face (JPEG file max. 500kb)
is also to be attached to the application.

The card may be collected in the Customer Service Centre, with the seat in Bydgoszcz 85-844,
at ul. Toruńska 174a, tel. (52) 582-27-07

Card type:
Date of birth (YYYY-MM-DD):*
Personal ID No (PESEL):*
House/flat number:*
Postal code:*
Concession type:
Concession validity date (YYYY-MM-DD):

Please type the code from the image:

Zarząd Dróg Miejskich i Komunikacji Publicznej, with the seat in Bydgoszcz 85-844, at ul. Toruńska 174a, performing the function of the data controller, informs that the disclosed personal details will be processed in order to issue the Bydgoszcz City Card as well as to encode tickets and to maintain a record of said tickets. You have the right to gain access to your data and to amend their content. The requirement of providing the personal data is set out in the Shipping Law Act of 15 November 1984. Should the authorisation be granted, personal data will be used for the purposes of marketing and electronic communication. Permission for processing the data for marketing purposes is voluntary.

* - required field