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  • Consultant Registration Form EDUARDO M.

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    Angel Eduardo Mejia
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    Eduardo Mejia Lopez has completed a consultant registration form providing his personal details such as name, date of birth, address, and contact information. He has also included his bank account information and signed the form, authorizing payments to be deposited into his BBVA account. The form collects the necessary registration information to set Mr. Lopez up as a consultant.

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    Consulta

    Original Title

    Consultant registration form EDUARDO M.

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    Eduardo Mejia Lopez has completed a consultant registration form providing his personal details such as name, date of birth, address, and contact information. He has also included his bank account information and signed the form, authorizing payments to be deposited into his BBVA account. The form collects the necessary registration information to set Mr. Lopez up as a consultant.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views2 pages

    Consultant Registration Form EDUARDO M.

    Uploaded by

    Angel Eduardo Mejia
    Eduardo Mejia Lopez has completed a consultant registration form providing his personal details such as name, date of birth, address, and contact information. He has also included his bank account information and signed the form, authorizing payments to be deposited into his BBVA account. The form collects the necessary registration information to set Mr. Lopez up as a consultant.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    CONSULTANT REGISTRATION FORM

    GENERAL INSTRUCTIONS
    Last Name MEJIA LOPEZ
    RFC/ SSN: MELE8909172R4
    Name EDUARDO

    Date of Birth 9/17/1990


    CURP: MELE890917HDFJPD04
    Movil Phone 5561012422

    Marital status SINGLE

    Address LAGO MA 18 LT 6 TLALPAN CIUDAD DE MEXICO 14700

    e - mail laloangel17007@gmail.com

    PAYMENT INSTRUCTIONS
    Beneficiary's Name EDUARDO MEJIA LOPEZ
    Street LAGO
    Address registered in your bank City CDMX State CIUDAD DE MEXICO
    Zip Code 14700 Country MEXICO

    Bank Name BBVA Bank Account Number 1584430651

    Account Number (CLABE) 1.21800158443065E+016 SWIFT BCMRMXMMPYM

    Beneficiary Name EDUARDO MEJIA LOPEZ

    Street LAGO

    Address registered in your bank City CDMX State CIUDAD DE MEXICO

    Zip Code 14700 Country MEXICO

    Signature: I, the undersigned, warrant that the information provided in this form is correct and, in the event of changes, details will be provided as soon as possible.

    I (we) acknowledge that the origination of ACH transactions to my (our) account comply with the provision of US law. I (we) hereby authorize to initiate credit entries to my (our)
    account.

    Name EDUARDO MEJIA LOPEZ Title CONSULTOR

    Signature Date 11/24/2022

    X
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