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Become an Agent
Plrease fill out this form in order to become an agent of
Unique Money Transfer Ltd
1.
Business Name:
2.
Business Address:
3.
Business Phone Numbers:
Fax:
Email:
Web:
4.
How Long At The Address:
5.
Premises/Leased/Licensed/ Owned:
6.
If Leased/Licensed (To / From)
7.
Additional Trading address
8.
Company Registration No.
9.
Date Of Registration
10.
Company Directors/Partners Name
Date Of Birth
Place Of Birth
Passport No.
11.
Authorised Contact Name
Position In Company
Land Line
Mobile
E- Mail
12.
Money Laundering
Registration
(MLR) Number
13.
Business Account Details
Bank Name
Address
Sort Code
Account Name
Account Number
14.
Full address Of Nearest
Barclays or HSBC Bank
15.
Accountant Details
Name
Address
Phone Numbers
--------------------------------------------------------------------------------------------------------------------------------
I hereby declare the information I have given is correct
We require the copy of the followings.:
1. Valid Passport.
2. Any bill of the Office.
3. Any bill of Home.
4. National Insurance number.
5. Lease Agreement.
6. MLR Certificate
7. Certificate of Incorporation (If Private Limited Company).
8. Bank Statement.
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Unique Money Transfer Ltd
. All rights reserved.
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