Registration form

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Your identity
Votre nom
Entrez ici votre date de naissance
Votre adresse (Rue + Numéro)
Entrez ici votre code postal
Entrez ici votre ville
Please insert, if available, a ID picture
Files must be less than 2 MB.
Allowed file types: gif jpg png bmp eps tif pict psd.
This registration form is spread over several pages. Thank you kindly complete it until the end. Click "next page" to the last page you have to click "send".
At the end of the form after you have clicked the "send" button, a screen will confirm that your application is registered.
We will promptly send you an acknowledgment by email and you will receive a few days later news about tracking your request.