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Rewiring

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Personal Information

Account Owner's First Name

Account Owner's Last Name

Mobile Contact Number

Service Type

Account/Main Phone Number

Email Address

Confirm email

ID Type

Documents

Attach copy of ID Card for Authorized Representative

One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Attach copy of ID Card for Account Holder

One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Attach copy of Power of Attorney

One file only.
10 MB limit.
Allowed types: gif, jpg, jpeg, png, pdf, doc, docx.

Description

I hereby declare that the information provided in this application is true, complete and correct to the best of my knowledge and belief. I understand that in the event that if my information is found to be false or incorrect at any time, this shall result

Rewiring

Rewiring

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Personal Information

Documents

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