Insureum Protocol whitelist registration
Confirm your Token Sale participation eligibility by checking ALL the boxes below: *

How much is your intended amount of investment (in ETH; number only)? *

Note: The investment amount cannot be guaranteed as we have strict hard cap, and the investment availability will be first-come first-served basis;
Note: Minimum contribution: 0.1 ETH; Maximum contribution: 1,000 ETH
What is your ETH wallet address? *

Note: Please double-check if it is your public key.
Please upload your selfie, with your face and your passport; your passport must show below information: *

- Your nationality
- Your picture
- Your name
- Your birth date, month, year
Please make sure your image is successfully showing required information as below example.

You are now registered on The Insureum Presale whitelist. Thank you! We will contact you via email within 24 hours!