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Mandate Form
Full Name
Required*
ID/Passport Number
Required*
SCD No
Certificate No
Country
Postal Address
Postal Code
Town
Mobile Number(256xxxxxxxxx)
Required*
E-mail
Payment Method
Bank
Bank Code
Bank Branch
Branch Code
Bank Account
International Bank
International Bank Branch
Bank Account
Swift Code
Upload a Copy of ID or Passport
I consent and confirm that the above details are true and correct. I/We authorise Image Registrars Limited to use the information (mobile/bank number) provided only for matters pertaining to my New Vision Printing And Publishing Company Limited shareholding and payment of any outstanding dividend in my/our name(s). I will notify the Registrar should the above information change.
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Documents
NEW VISION MANDATE FORM
Download
MOBILE MONEY FORM
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