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This form is to be completed by all applicants wishing to register at The Pool Team. This is NOT a credit application form.
Registered company name:
Co. Registration number
Contact Full Name:
ID Number/Passport Number:
Cell Phone Number:
Principal e-mail address:
Number of years trading:
day of the
month of 20
Name of signatory:
On signing of this document, I hereby confirm that:
The above information is true and correct.
I am duly authorised to sign this document on behalf of the company.
The above signatory is the only person that is duly authorised to use the following COD Screen.