Invia una richiesta

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Indirizzo email

Oggetto

Last name / Legal Entity Name

First Name(facoltativo)

Registration or ID Number

LEI(facoltativo)

Client Reference(facoltativo)

Address or Registered Office

Please, enter: Street, Number, Floor (for firms, registered office), Post Code, City, Country

3.a Information about the service provider

Full reference of the crypto-asset service or agreement to which the complaint relates (i.e. name of the crypto-asset service provider, crypto-asset service reference number, or other references of the relevant transactions…)

3.b Description of the complaint’s subject-matter

Please provide documentation supporting the facts mentioned

3.c Date(s) of the facts that have led to the complaint

3.e Other comments or relevant information (where relevant)

Please, add as many details as possible

3.e Other comments or relevant information (where relevant)

Descrizione

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Allegati(facoltativo)

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