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MOOV AGENT REGISTRATION FORM
PERSONAL INFORMATION:
RESIDENTIAL ADDRESS:
BUSINESS INFORMATION:
REQUIREMENTS:
All fields are required
Personal Information:
Agent Name
*
Email
*
Password
*
Confirm Password
*
Mobile Phone
*
Alternate Phone
Gender
*
[SELECT]
Male
Female
Birthday
*
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RESIDENTIAL ADDRESS:
Address
*
City
*
State
*
LGA
*
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Business Information:
Business Name
*
Nature Of Business
*
Years In Business
*
Address
*
City
*
State
*
LGA
*
Shared location
*
Exclusively Owned Location
*
Referred By
*
Use Default MOOV ID
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REQUIREMENTS:
Business Name (prospective agent must have a registered business)
Office or Desk Space (this is proof of business of location/may be a shared space)
Utility bill (photo copy or scan)
Photograph of building
Photograph of the building in the Street (street view)
Mobile Phone
Laptop
Internet
Please upload Proof of payment (Only JPG, PNG and PDF Files Are Accepted)
*
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