Gaming sector registration

Name:

Surname:

Address:

City;:

Postal Code:

State:

Date of birth:

Mobile:

Tax ID code:

Email:

Document type: Identity card;Passport

Document number:

Release date

Expiration date

Attach your scanned signature (jpg, png, gif) (it is recommended to use a 300x150px image)

Attach a copy of your double-sided document in one file:

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You register as an individual or company:

Physical person Company

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