QIcoin(qiù) investment KYC
(I)  + Token sale registration : read carefully, check and agree,
(II) + Send to email : gaianoah.ico@gmail.com your identification documents : e.g Passport, ID card with a face selfie of you olding the ID document,

This KYC (know your customers) form, allows us to be in accordance with financial regulation and anti money laundering protection,

1 - Fill the form,
2 - From your registering email, send to gaianoah.ico@gmail.com a copy of your ID document :
A : a picture of your Passport or ID card,
B : a face selfie of you holding the ID document,
3 - A reception confirmation will be sent to your registering email,

Email address *
Last Name *
Your answer
First Name *
Your answer
Birthday (yyyy/mm/dd) *
Your answer
The ETH wallet address you are contributing from *
Your answer
The ETH amount you are contributing *
Your answer
The identification documents to be sent : *
Terms & Conditions : *
A copy of your responses will be emailed to the address you provided.
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