MATTEO CIAMPICA

Fill out this form to request the Certificate of Authenticity

THE OWNER'S DATA

THE DATA OF THE ARTWORK

PHOTOS OF THE ARTWORK

THE OWNER'S DATA

Language

Your name

Your Surname

E-mail

Telephone

Document Type

Document Number

Your residential address

Nation

Are you an Intermediary (Auction House, Gallery, Representative, Trustee, etc.) submitting this request on behalf of the Owner?

YES

Full address for shipping the Certificate of Authenticity - If same as residence,

click here

Address

Nation

THE DATA OF THE ARTWORK

Type of Artwork

Signature

Title of the Artwork

Code (8 characters) shown on the back of the Artwork

Size without frame

Unit of measure

Height

Length

Purchase price

Purchase date

Purchased by

Provenance of the Artwork

Write here all the information you have about the Artwork, its history, particular signs etc. etc. (put as many details as possible)

PHOTOS OF THE ARTWORK

Please upload photos of the Artwork here. Accepted formats are: .jpg - .gif - .png. Images must not be larger than 4 Mb each. All images must be clearly visible and in focus. Make sure that the words are legible and faces are distinguishable. When taking photos, do not tilt the Artwork, keep the Artwork parallel to the shooting plane. Always portray the entire Artwork in its entirety, including any frame.

Upload the following photos:

PHOTO 1

An overall frontal image of the Artwork

Upload

PHOTO 2

An overall image of the back of the Artwork

Upload

PHOTO 3

An image of your document of identity - Front

Upload

PHOTO 4

An image of your document of identity - Back

Upload

PHOTO 5

An image of you with the Artwork, holding in the hands your document of identity (Front)

Upload

(Required) - I have carefully read and understood the Privacy Policy , I approve each article and condition contained therein and authorize the processing of all my personal data, including audio-video-photographic material, according to the terms clearly represented to me in that Privacy Policy.

PHOTO 1

PHOTO 2

PHOTO 3

PHOTO 4

PHOTO 5

PLEASE WAIT - Saving data Thank you for your time that you have dedicated to me!

PLEASE WAIT - Saving data
Thank you for your time that you have dedicated to me!