e-form

Aloaha Blockchain Testform

With the load/save buttons you can load/save your data to the Blockchain - fully encrypted with your public key for a maximum of privacy protection

Issue date

ID Card No

Title

Name

Surname

Door Name

Door Number

Building Entry Point Name

Street Name

Locality Name

Post Code

Mobile

E-mail

Coins

Payment Recipient

Transaction ID

Pay - click image

Kindly also have a look at Testform "Test1"