Last inspection: 30 Jan 2010

                                                                                                                                               
                                                                                                                                                 NOTICE BOARD

GLOBAL NETWORK PROJECT
====================

Instruction: Applicants for Registration as Network Representative  print this page,  type the required information in the space provided and scan


1. To CEO/MD, Omnipratika Plaza, 5th Avenue Gowon Estate, Ipaja-Lagos, Nigeria.

2. State your Name in full...................................................................................Yes/No.

3. Highest Educational Qualification and Institution...............................................Yes/No.

4. Present Occupation or Employment.................................................................Yes/No.

5. Scanned Copy of Official ID..............................................................................Yes/No.

                           PASTE YOUR OFFICIAL ID IN YOUR PRESENT EMPLOYMENT HERE BEFORE SCANNING THIS FORM

6. Scanned Copy of National ID........................................................Yes/No.

PASTE YOUR NATIONAL ID HERE BEFORE SCANNING THIS FORM

7. A digital passport photograph......................................................Yes/No.

PASTE YOUR PASSPORT PHOTO HERE BEFORE SCANNING THIS FORM

8. Permanent Home Address............................................................Yes/No.

9. Your Telephone Number..............................................................Yes/No.

10. Your Postal Address...................................................................Yes/No.

11. Post Code..................................................................................Yes/No.

12. State why you wish to be Omnipratika Network Representative......Yes/No.

13. Would you consider joining a good affiliate program?.............................................Yes/No.

14. Name a referee plus telephone contact...................................................................Yes/No.

15. I  am Mobile Internet Capable i e, access in 2 - 3 minutes.........................................Yes/No.

16. Bank  Teller Number............................................................................................Yes/No.

17. Pay a processing fee  of =N=2500 (Two thousand Five Hundred Naira Only) to Skye Bank  Plc, 30 Alekunwodo Road, Osogbo, Nigeria.  Acct Name: Gp Capt Ajibulu-SO (rtd) Acct No: 2641760017300

If you are paying in US Dollars,

Account Name: Olagoke Ajibulu
Account No. 0125250000000046
Intercontinental Bank  Plc., Plot 999C Danmole
Street, Victoria Island, Lagos, Nigeria.

(Scan teller to me)..........................................................Yes/No.

18. How did you learn about the program or Omnipratika?

NOTE: The application form +  processing fee is=N=2500 and non-refundable please.