Media and Tour Operator Study Visit Application Form

Use this form to submit your application for a media or study visit to Poland. Please complete all relevant fields, including your professional details, planned visit information, and travel document data exactly as shown in your passport, so that flight arrangements and visit logistics can be prepared correctly.

APPLICATION FORM FOR MEDIA / STUDY VISIT

First name(s) as in passport

Surname as in passport

Email address

Mobile phone number

Media outlet name and type / Tour operator name and type*

Type of material* / Scope of offer*

Estimated media reach / audience size

Circulation / Views / Estimated reach

Target market

Date of birth

Nationality

Passport number

Passport issue date

Passport expiry date

Departure airport / city

Planned publication date

Publication topic / visit objective

Photo / filming permissions needed?

YesNo

Estimated advertising value / estimated value of publication

Travel insurance for the trip is mandatory

I confirm that I have valid travel insurance.

Personal data consent

I consent to the processing of my personal data for the purpose of organizing the visit and travel arrangements.

Airline booking details

I need hand baggageI need checked baggage

Meal preferences & allergies

Emergency contact (ICE)

* Example media types: TV, radio, print, blog, vlog, social media, online publication, other.

* Example material types: article, radio feature, online publication, TV material, social media content, other.

Please make sure passport details are entered exactly as shown in the travel document used for the booking.