Form cover
Page 1 of 2

DIGITALEUROPE Innovation Lab

As part of the establishment of the DIGITALEUROPE Innovation Lab, some detailed information is required about individuals holding key positions within our new legal entity. This form is designed to collect essential details to support the formal incorporation of the DIGITALEUROPE Innovation Lab.

Please note that we are using a GDPR-compliant tool (Tally) and handle the information in full accordance with the GDPR. The information is collected only for the purpose mentioned above and will be kept only as long as needed

Personal Information

1. Personal information

2. Please upload both sides of your ID or passport
Frontside of ID or passport
Backside of ID or passport

3. Place of residence
Please upload a proof of residence dated from the month of April, which is when DEIL AISBL will be incorporated (e.g., a bill, a certificate of residence, etc
Please note that the clerk’s office of the Enterprise Court of Brussels does not accept the driving license or identity card as a proof of residence