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Get Firstmonie Agent Registration

Agent Registration Form Indicates mandatory fields Personal Details Of Contact Person Surname Passport Photo First Name Middle Name Phone Number Address Gender M F ID Type Date of Birth Driver s License D D M M Y Y Y Y Place of Birth ID Number National Id E-mail Address Nationality Mother s Maiden Name Business Details Business Name Business Address Company Registration No Type of Business Sole Proprietorship Partnership Limited Liability Company PLC Bank Name Account Type Current Savings Account Number Business Phone Number Director s Details Name of Director ID No Declaration I hereby certify that the information provided in this form is true and accurate. I agree that appropriate measures including legal actions could be taken against me if the information I have provided here is discovered to be false. Signature or Thumbprint Date OFFICIAL/INTERNAL USE ONLY FirstMonie Agent Check List Classic Gold Platinum Tick Certificate of Good Conduct Court Affidavit or a letter from village chief Financial statement for the last 3months if any Means of ID Driver s license National ID Card International passport Two passport size photograph of Principal contacts Account Statement for the last 6months Proof of Address utility bills Any other relevant document for KYC as the scheme may deem it fit in future Memorandum and Article of Association MEMART if any Original documents shown/ presented Approved by Name D D Signature. Agent Registration Form Indicates mandatory fields Personal Details Of Contact Person Surname Passport Photo First Name Middle Name Phone Number Address Gender M F ID Type Date of Birth Driver s License D D M M Y Y Y Y Place of Birth ID Number National Id E-mail Address Nationality Mother s Maiden Name Business Details Business Name Business Address Company Registration No Type of Business Sole Proprietorship Partnership Limited Liability Company PLC Bank Name Account Type Current Savings Account Number Business Phone Number Director s Details Name of Director ID No Declaration I hereby certify that the information provided in this form is true and accurate. I agree that appropriate measures including legal actions could be taken against me if the information I have provided here is discovered to be false. Signature or Thumbprint Date OFFICIAL/INTERNAL USE ONLY FirstMonie Agent Check List Classic Gold Platinum Tick Certificate of Good Conduct Court Affidavit or a letter from village chief Financial statement for the last 3months if any Means of ID Driver s license National ID Card International passport Two passport size photograph of Principal contacts Account Statement for the last 6months Proof of Address utility bills Any other relevant document for KYC as the scheme may deem it fit in future Memorandum and Article of Association MEMART if any Original documents shown/ presented Approved by Name D D Signature. Agent Registration Form Indicates mandatory fields Personal Details Of Contact Person Surname Passport Photo First Name Middle Name Phone Number Address Gender M F ID Type Date of Birth Driver s License D D M M Y Y Y Y Place of Birth ID Number National Id E-mail Address Nationality Mother s Maiden Name Business Details Business Name Business Address Company Registration No Type of Business Sole Proprietorship Partnership Limited Liability Company PLC Bank Name Account Type Current Savings Account Number Business Phone Number Director s Details Name of Director ID No Declaration I hereby certify that the information provided in this form is true and accurate. I agree that appropriate measures including legal actions could be taken against me if the information I have provided here is discovered to be false. .

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Keywords relevant to Firstmonie Agent Registration

  • FirstMonie
  • Proprietorship
  • plc
  • Incorporation
  • certify
  • memorandum
  • Thumbprint
  • deem
  • Nationality
  • surname
  • requirements
  • AFFIDAVIT
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