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Customer Investigation Form
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1
Full Name
*
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First Name
Last Name
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2
E-mail
example@example.com
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3
Phone Number
*
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Your phone number (Whatsapp or Telegram preferred)
Country Code
Phone Number
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4
Country
Your country of residence
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5
Amount Lost
Enter amount lost to the scam
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6
Type of Scam
Select the type of scam you were involved in
- Select -
Forex Scam
Binary Options Scam
Cryptocurrency Scam
Romance Scam
Others
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Forex Scam
Binary Options Scam
Cryptocurrency Scam
Romance Scam
Others
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7
Tell Us More
Describe Your Experience
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