The Virtus et Fraternitas Medal | Application Form

Propose a candidate for the Virtus et Fraternitas Medal!

The Virtus et Fraternitas Medal is an expression of gratitude to those, first and foremost foreigners, who in the course of the 20th century – plagued with totalitarian barbarity – displayed immense courage and human solidarity to facilitate the survival of Polish citizens. It is also awarded to non-natives who keep alive the memory of 20th-century Polish history. The Medal is bestowed since 2019 by the President of the Republic of Poland upon a motion of the Director of the Pilecki Institute.

Have you heard of anyone who provided Polish citizens with shelter and assistance, helped them escape, or gave financial support? Or perhaps you know people who care for Polish places of memory abroad?

If you think that you are aware of anyone who satisfies the criteria for award of the Virtus et Fraternitas Medal, be sure to share your story with us!

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Medal Information Recipents

Propose a candidate

In order to propose a candidate for the Virtus et Fraternitas Medal, you should complete the on-line application form which is available below.

Application
Form

Completion of all fields marked with an asterisk is mandatory.

Instytut Solidarności i Męstwa
Zespół ds. Odznaczeń
im. Witolda Pileckiego
ul. Foksal 17
00-372 Warszawa

Data of candidate 1

Data of proposer 2

Biographical note of candidate 3

Additional information 4

Consents 5

1. Data of proposed candidate

Living*

Deceased*

2. Name and surname/name of the proposer

3. Substantiation of the proposal, including an outline of the meritorious service of the candidate*

(This should contain the following information: description of events, dates, location(s), witnesses, etc.; maximum of 2,500 characters)

4. Additional information and comments

Information not included in the substantiation may impact the process of verification, for example, orders and medals awarded, biographical data of the candidate, information about descendants in the event of a posthumous award, etc.; maximum of 2,500 characters

5. Consent to the processing of personal data

1. The proposal of a participant for award of the Virtus et Fraternitas Medal through the completion and submission of the application form available on the website of the Witold Pilecki Institute of Solidarity and Valor, with its seat at 17 Foksal Street, 00-372 Warsaw, is tantamount to the provision of consent to the processing of the personal data provided in the application for the purposes and in accordance with the procedures indicated in the GDPR clause. Furthermore, by completing and submitting the application form the Proposer declares that they have obtained the pertinent consents to the processing of personal data from the persons whose data they are submitting, furnished the said with information about processing, contained in the GDPR clause, and also acquainted themselves with said information. The persons whom said personal data concern shall be entitled to withdraw their consent without any effect for the legality of processing performed prior to withdrawal thereof.
2. The controller of the personal data processed in connection with the proposal of a participant for award of the Virtus et Fraternitas Medal is the Witold Pilecki Institute of Solidarity and Valor, with its seat at 17 Foksal Street, 00-372 Warsaw.
3. I declare that I am of full legal age and possess legal capacity, and also that I have acquainted myself with the above content and understand it in full. The provision of personal data by myself is voluntary. I am entitled to demand that the controller provide me with access to my personal data, and allow me to correct, delete, transfer or limit the processing thereof.

* mandatory field

Propose a candidate - Instytut Pileckiego

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