e-Resident Application – e-Resident Application

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First name* Middle name(s) Surname* Surname at birth / previous surnames Date of birth* Place of birth* (e.g. Apatin, Serbia)* Country of birth* Current nationality* Nationality at birth (if different) Sex* Marital status*

Contact information:

Your email* Mobile number Street name and number* Postal code* Place of residence (e.g. New York)* Country*

Identification details:

Proof of identification (max file size 25MB) (e.g. birth certificate, driving license, foreign passport, etc)*

General Questions:

What is your motivation to become an e-Resident?*

Additional information:

Do you have any criminal convictions? If so, please provide information Do you have any previous e-Resident application rejections? If so, please provide when and why Any relevant information you would like to provide I hereby declare that the information provided in this application is true and accurate to the best of my knowledge. I give permission for this application information to be stored in the nations database and I consent to the processing of my personal data for e-Residency purposes and understand that the information may be subject to verification. I acknowledge that the e-Residency program is subject to the terms and conditions of our country's regulations and may be revoked if I fail to comply with these regulations. Once you have submitted, it can take up to 14 days for a response on your e-Resident application. Due to the amount of applicants to upkeep our systems, we charge a small processing fee. All proceeds go into the Verdisian Government to help build the nation. Please ensure that your application is well-made. Refunds are not permitted if your application is declined.
Processing Fee Cost: 100 EUR