GLOBAL INTERGOLD

Personal Details Record Form

Please ensure all information is completed in full.
Personal details
Firstname:

Lastname:

Email address:

Nickname:

Date of birth:

Sex :

Corresponding Address:

Postcode:
Home Telephone:
Mobile:
Up Line Details
Name:

ID:

Email address:
For Office Use Only
Account Details
Login name :

Password :

ID number :
NOTE
1. Check all the personal details gives is correct.
2. Attach the ATM slip together as a prove you make the payment.
3. Send the image of your Identification Card (front and back) and any letters or bills with
your name together with your corresponding address to your up line.
(document can be send via whatsapp and email) much be in PDF or JPEG format.
Approved by,
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