Applying for a certificate of authenticity With this form you apply for a certificate of authenticity. * = mandatory field Details Family name Initials Street and house number Postal code and City or Town Country Date of birth You can type the date in this field as well. E-mail address Postal address Postal street and house number Postal code and city or town Country The costs of applying for a certificate of authenticityPlease transfer the amount to us or have the amount automatically debited from your account. I want to pay via Direct debit Bank transfer Name of Account Holder IBAN I hereby consent to RDW charging the costs to my account Yes Please transfer 4,65 euro to account number NL25ABNA0477256600 registered to RDW in Veendam. State your family name and date of birth. Adding annexes Image of the front of the identity card Image of the back of the identity card Do you have a copy of the back? Then please send it along. As an applicant, I declare that I have no objection to the data entered being checked and I know that it is not allowed to give incorrect information and send incorrect documents
