Census Registration Form | My Website

Betting Center Census - IOBPAS

I. APPLICANT DATA

Person Type:

Natural

Legal

Full Name

Identity Card

R.I.F. (Valid)

II. ESTABLISHMENT DATA

Commercial Name *

Exact Address *

Municipality

Parish

Email *

Phone

IV. REQUIREMENTS (PDF Only)

ID & RIF Copy *

Bank Certification *

I declare that this establishment complies with the prohibition of sales to minors.