User Verification Form

URL-TEST
Jotform Username
Related Form(s)
Forms' Titles
PII Details
Which are/is document(s) inadequate?

Identity CardOrganization Registration DocumentBoth of Identity Card and Organization Registration Document
Checker
Checker2
User Verification Form

A. Applicant Details
1. Name of the Applicant*

First NameLast Name
2. Applicant's Position in the Organization
3. Phone Number

Country CodeArea CodePhone Number
4. Email*
example@example.com
Email Validator
5. Address for Applicant or Business*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ID Verification with Selfie

Please upload a valid government-issued ID card, such as a driver's license or passport, along with a clear, forward-facing selfie for verification. Please note that only one photo is required, adhering to the guidelines below:
- The selfie must be a clear, forward-facing photo of the individual's full face.
- The person must be holding one of the provided ID documents next to their face.
- Ensure there are no obstructions, such as sunglasses, hats, masks, etc.
An example of an acceptable selfie is provided in the image below:
ID Verification with Selfie

Please upload a valid government-issued ID card, such as a driver's license or passport, along with a clear, forward-facing selfie for verification.
Cancelof
I prefer not to take a selfie with my ID; instead, I would like to upload a picture.
Please validate your email address to proceed.
Please make sure to get the correct link.

User Verification Form

B. Organization Details
1. Organization Name*
2. Describe the nature of your business.*
3. Describe what sensitive data you are expecting to collect and for what organization purpose.*
4. Who in your company will have access to this data? Please write their names and titles.
5. Will you transfer the data outside of the Jotform? If so, where will the data be kept? How will you protect the data? How long will you keep it?
6. Organization Registration Document*

Please upload documents describing your organization.
Cancelof

User Verification Form

C. Declaration
1. Name of the Applicant

First NameLast Name
As the Data Owner, I agree to be solely responsible for the completion of any Data Subject Requests, including deletion of data, per applicable privacy legislation.
2. Signature of the Applicant*

Clear
Should be Empty: