Optimissimi

Apply as Moderator

Personal

First Name*

Last Name*

Birthday*

Address

Address*

Zip Code*

City*

Country*

Contact

Email*

Phone Number*

Discord*

Informations

Do you have experience?*

Working Hours*

Identification

ID-Number*

UID-Number*

Tax-Number*

Bank details

Account Owner*

Name of Bank*

IBAN*

BIC*

Verification

ID-Front*

ID-Back*

Selfie with ID and Paper*

Business License*

Signature