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Full Name*

Email Adress*

Whatsapp/Phone Number*

Country of Residence*

How are you connected to Dominica?*

I was born in Dominica

My parents/grandparents are from Dominica

I own or manage property in Dominica

I am a citizenship‑by‑investment holder

I have family living in Dominica

I am an international investor or clien

Other / Prefer not to say

What do you need help with today*

Passport renewal

Birth / marriage / death certificate

Police record / background check

Land / title / probate / court documents

Personal & family support (checks, errands, coordination)

Property inspections / ongoing property management

Business-related assistance

I’m not sure — I need advice

Other service

Describe your request in a few sentences

Preferred Contact Method*

Phone call

Email

No preference

I confirm that the information provided is accurate and I have the right to request these services*

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No

I agree that Simexx Inc may contact me about this request and process my data as described in the Privacy Policy

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