On-Line application submission
Please complete the application

Application submited on-line needs to be personally authorized at CSC, by presenting the ID card
and signing the application form. Applicants are also requred to enclose photo of their
face in JPEG format (file max. up to 500 kb).

Card type:
Foreigner:
STUDENT RECORD BOOK / ELS NO:*
Name:*
Surname:*
Date of birth (YYYY-MM-DD):*
Personal ID No (PESEL):*
Town:
Street:
House / flat number:
Postcode:
Phone:
E-mail:*
Photo:*

Please copy the code from the picture:

* - required field


I hereby consent that my personal data specified in points 1-3 and 6 information of Mayor of Wrocław (click to read more) be processed by the Mayor of Wrocław for purposes of issue of the URBANCARD – the Wrocław Municipal Card (free of charge in the case of the first Card) and data specified in points 1 and 3: in order to use the rights to file complaints provided for in § 13, 14 and 15 of the OWUP.

Furthermore: