masterpage

e-form

Fields marked as authenticated will be filled automatically by the Blockchain based eID Services. Issue date Title Authenticated Name Authenticated Surname Authenticated Mobile Authenticated E-mail Custom E-mail savedata

With the up- and download button you can save/retrieve your personal into the Blockchain. All personal data is double encrypted with your public key.

If you click on the yellow "V" Button you pay the specified amount to the form owner. A transaction number will be displayed at the bottom of the form. Coins Payment Recipient payasync

Transaction ID