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Last
inspection:
27 Aug 2010
NOTICE
BOARD
GLOBAL NETWORK PROJECT
====================
How to apply: Applicants for Registration as Network Representative print this page,
type the required information in the space
provided and
scan
to the network creator.
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NOTE:
Yes/No
indications are for office use only.
Provide your answers on the dotted lines OR the space with
pointing arrow. Your information will be treated as
confidential but will be
subject to verification. See
Omnipratika
Privacy
page. |
1. To CEO/MD, Omnipratika Nigeria Ltd, 27 Church Road, Dada Estate,
Olorunsogo, Egbedore 232104, Osun State,
Nigeria.
2. State your Name in full................................................................................Yes/No.
3. Highest Educational Qualification and Institution............................................Yes/No.
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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.
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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.
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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 :United Bank for Africa Plc, Olohunkoro, Osogbo. Acct. Name:
Omnipratika Nigeria Limited, Acct No: 0062-003-0002081.
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 Omnipratika Network?
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NOTE:
The application form + processing fee is=N=2500
and non-refundable please.
Yes/No
indications are for office use only.
Provide your answers on the dotted lines OR the space with
pointing arrow. Your information will treated as
confidential but will be
subject to verification. See
Omnipratika
Privacy
page. |
The
inspiration
Networks
of the future
A project, worth more than money
<==
BACK
HOME
HOME FRONT
==>
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(Western Union) is
just $10 a month
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©
2010-2011,
Program Mastermind,
Omnipratika
Nigeria Limited ,
Omnipratika Plaza,
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Estate, [last
B/Stop- Egbeda] Ipaja-Lagos,
Postal Code 101001/100006, Nigeria.
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Inspected/Edited:27 Aug 2010 05:16 -0700
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