Distribution application SCIENTIA Token-Scientia

First Name

Last Name

Email

Date of birth

Address

Country of Residence

Wallet address where you hold your SCIENTIA Token

Which type of distribution / reimbursement are you applying for?

Distribution because I am a presaler (150%)

Distribution because I hold STT1, STT2 & STT3 (150%) - PLEASE GIVE ADDRESS OF THE STT 1/2/3 WALLET

Compassionate reimbursement (100% + 3%) - YOU MUST EXPLAIN YOUR ELIGIBILITY

Wallet address where you hold your STT1, STT2 & STT3 Token (if you do)

ONLY IF YOU APPLY FOR COMPASSIONATE REIMBURSEMENT - Explain here why you are eligible for the compassionate reimbursement. Criteria are support of the project, holding the token NOT for speculation or not understanding the tokenomics. BE HONEST!