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REGISTRATION

International Association of Gaming Regulators
Multi-Jurisdictional Personal History Disclosure Form

Please fill out this registration form and include a valid
e-mail address in order for us to send you information on
updates to the form. Your e-mail address will be kept
private and will not be shared with any other agency.

 

 
Full Name:
E-Mail Address:
State/Province:
Country:
 
Please indicate which form you will be submitting:
PDF Version *
Fillable Version **
 
  *PDF Version - Form must be printed and completed manually.
**Fillable Version - Form can be completed on your personal computer..
 

 

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International Association of Gaming Regulators
email: inquiries@iagr.org