ENTRY FORM – 13th PIHC 2023 name and surname / imię i nazwisko city/town / miejscowość country / kraj email haiku My haiku was not previously published in any form, not submitted anywhere. Accessing the competition is tantamount to consenting to the processing of the participant’s personal data for the purposes necessary to organize and conduct the competition and with the consent of the authors of the awarded and commended haiku for publication on the internet site psh.org.pl. Expressing consent is voluntary, but necessary to participate in the competition in accordance with the Act of 10 May 2018 on the protection of personal data (Journal of Laws from 2018, item 1000) and in accordance with the Regulation of the European Parliament and Council (EU) 2016/679 of 27 April 2016 on the protection of individuals with regard to the processing of personal data and on the free movement of such data and repealing Directive 95/46/EC. The administrator of personal data is the Polish Haiku Association, ul. Kacza 6 m. 65, 01-013 Warsaw.