Identity Details

Address Details

Declaration

Take a photo of yourself with a valid government-issued ID. The ID must be legible.


I hereby declare that the information provided in this form is accurate and complete. I confirm that any information is found incorrect and/or incomplete that leads a violation of regulations may initiate legal actions, and I accept that I am the responsible party for any and all charges, penalties and violations. I assure that the funds, sent to Befla Benjamin Flamm, are my own and will not be used for illegal purposes. I voluntarily assume full legal responsibility for my actions.