Loqr LRA Operator Registration Form Identity number* First name* Last name* Address line 1* Street name, house/building numberAddress line 2 TownAddress line 3* Postal codeTerritorial subdivision Territorial subdivisionCountry* E-Mail* Mobile number* Secret Question* This is used so that the user can identity themselves to the RA operator in the case where he, for example, has lost his cardSecret Answer* HiddenCopy of Identity Document*Max. file size: 64 MB.This is a file upload of a copy of the identification used. In this case it will be a copy of the passportConsent* I have read and agree to the eIDAS certificate statementCAPTCHA
