REGISTRATION AND APPLICATION FORM
Registration date: 18.05.2022
Organisation Information
Organisation number: 70000349
Organisation name: MAKSU- JA TOLLIAMET
Address: Lõõtsa tn 8a
Postal code/area: 15176 Lasnamäe linnaosa
Telephone number: +372 8800811
The person who will sign the contract (Contract Signer)
Full name: Raigo Uukkivi
Job title: Director General
Mobile number: +37 26762102
Email address:
[email protected]
The person applying for this certificate (Certificate Applicant)
Full name: Jaak Vaabel
Mobile number: +37 27943900
Email address:
[email protected]
The person who is authorised to verify the identity of the organisation (Organisation's
Authorised Representative)
Full name: Raigo Uukkivi
Mobile number: +37 26762102
Email address:
[email protected]
Method for personal attendance: Registered mail (REK)
Address: Maksu- ja Tolliamet, Lõõtsa 8a, 15176 Tallinn
Country: EE
Postal code/area: 15176 TALLINN
Registration and application form-70000349-1579655.pdf 1/2
Order information
Order number: 1579655
Order date: 18.05.2022
Product: QC eSeal
Type: Customer generated key (csr)
Validity period: 3 years
Price
QC eSeal: 500 EUR
Price: 500 EUR
Information on your certificate
Organization (O): MAKSU- JA TOLLIAMET
Organisational Unit (OU): EMTA
Common Name (CN): LVE-RINA01.eessilive.ee INT EMTA ebMS
By signing this document I confirm:
That all information in this document is correct
That the Subscriber agreement for Buypass Class 3 Enterprise certificates has been read and
accepted
The identity of the organisation requires the use of an electronic signature (satisfying the relevant
legislation in your country), or that the Organisation's Authorised Representative is authorised to verify
the identity of the organisation
Place/date Signature Raigo Uukkivi (Contract Signer)
Send signed form on mail or email to Buypass:
Buypass AS - Customer Service, Postboks 639, N-2810 Gjøvik, email:
[email protected]
Registration and application form-70000349-1579655.pdf 2/2