Loqr LRA Operator Registration Form Identity number*First name*Last name*Address line 1*Street name, house/building numberAddress line 2TownAddress line 3*Postal codeTerritorial 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*Copy of Identity Document*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
