Last inspection: 02 May 2011

                                                                                                                                               
                                                                                  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.

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 222104, Osun State, 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 $25 or Naira equivalent 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 by wire transfer,

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?

=>

NOTE: The application form +  processing fee is $25 or Naira equivalent 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.

 

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How to Quote this document: Omnipratika Global Position_apply.htm_Omnicom™_2009

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Inspected/Edited:02 May 2011 02:42 +0100