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First name *

Last name *

Address *

City *

ZIP / Post Code

Country *

Email *

Phone *

Telegram ID

A copy of your ID card or Passport (jpg or pdf max 20M) *

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Upload your documents of transferring money to the scam (Banks and Crypto) Please also add payment reciept to Lars company Priostartup AB : (jpg or pdf max 50M) Please select all files at once

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How much did you lose? Net *

Name of the Fraud *

Which bank did you use to pay? *

How did you find the fraud? (Facebook,google,friend,promoter etc) *

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