Registration form


You must correctly complete the red fields.

My personal data are as follows:

  • surname
  • name
  • place of birth
  • date of birth
  • (dd-mm-yyyy)
  • type of ID document
  • number of an ID document
  • istitution that has emitted the document
  • address
  • city
  • state/province
  • country
  • phone
  • mobile
  • amount of the contribution (see table)
  • e-mail address (needed to complete registration)
  • activity

  • Proceeding with the registration I declare to have read Pravartya rules published on Pravartya website.

    I choose my personal username and password to log-in to Pravartya account (please note for not forget them).

  • username

  • password
  • type again password
  • Note: Password must be correctly entered. Insert at least 6 alphanumeric characters. Type in at least 1 capital character and at least 2 numbers.
    Example password: exe14Mple