JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Recovery Application Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your
CEX.IO
User ID
*
Your answer
Your email address
*
Your email address must be valid and match with the verified email address on your
CEX.IO
account.
Your answer
Coin/Token
*
What cryptocurrency did you send?
Your answer
Sender’s wallet address
*
The wallet address from which you sent funds
Your answer
Deposit amount
*
How many coins/tokens did you send?
Your answer
Transaction ID / Transaction Hash
*
You’ll find it on the respective blockchain explorer site, i.e. etherscan
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of WNB Solutions.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report