Korpodeko Client Card Application Form

Client Card Application Form

1. Are you applying for the Client Card as a business, bus or taxi driver, or a person? *This question is required.

2. What's the name of the business? *This question is required.

2. Chamber of Commerce Registration Number (Kvk nr) *This question is required.

2. What is your complete name? *This question is required. First and Last Name(s)

3. Your birthday *This question is required. This question requires a valid date format of DD/MM/YYYY.

calendar

4. ID number *This question is required. Sédula

5. Your address *This question is required.

6. Your e-mail address This question requires a valid email address.

7. What is your phone number? *This question is required.