ARTWORK ENTITLEMENT & OWNERSHIP FORM
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Section 1: Personal Details
Provide your personal details
Name
(Required)
Full legal name
Nationality
(Required)
Date of Birth (DD/MM/YYYY):
(Required)
DD slash MM slash YYYY
Phone Number (with country code):
(Required)
Email Address (for digital documents):
(Required)
Section 2: Delivery Address
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Country of Residence:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Section 3: Artwork Selection
Please select one (1) artwork from the collection below:
(Required)
Echoes of the River (2024 – Nigeria) — Valued at £68,000 GBP
The Drummer’s Silence (2020 – Nigeria) — Valued at £350,000 GBP
Crowned Essence (2024 – Nigeria) - Valuation: £250,000 GBP
The Vanguard (2020 – Nigeria) - Valued at £500,000 GBP
Mama’s Journey (2024 – Nigeria) - Valued at £9,950 GBP
Moonlight on Makoko (2025 – Nigeria) - Valued at £1,000 GBP
Fragments of Her Silence (2025 – Nigeria) - Valued at £49,500 GBP
Oshodi Rush (2025 – Nigeria) - Valued at £10,000,000 GBP
Mother of the Continent (2024 – Nigeria) - Valued at £5,000 GBP
Third Mainland Pulse (2023 – Nigeria) - Valued at £95,000 GBP
The Reflections of Eko (2023 – Nigeria) - Valued at £100,000 GBP
Dance of Edo Womanhood (1954 – Nigeria) - Valued at £1,000,000 GBP
Note: Each artwork comes with a digital certificate of authenticity, full ownership documents, and is professionally crated for secure international delivery.
Section 4: Identification
🔗 [Upload Identification Document]
Max. file size: 5 GB.
Please upload a valid government-issued ID (passport, national ID card, or driver’s license):
Section 5: Verification & Consent
Kindly acknowledge and accept below...
(Required)
I acknowledge and accept the 10% delivery and legal processing fee based on the selected artwork's valuation.
Kindly confirm below...
(Required)
I confirm that all information provided above is true and accurate.
Let us know if you understand below...
(Required)
I understand that this artwork is a non-transferable cultural reward and must be legally assigned to my name before shipping.
Signature (Digital or Typed):
(Required)
Signature Date
(Required)
DD slash MM slash YYYY
Once submitted, your artwork claim will be reviewed and processed within 24 hours. An email confirmation and ownership documents will follow.
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