Membership Application

Personal Info

Investment

Payout & Declaration

Applicant’s Personal Information

First Name *

Last Name *

Date of Birth *

Nationality *

Email Address *

Phone Number *

Gender *

Occupation / Profession *

Residential Address *

Postal Address *

Member Photo*

Upload Passport Photo JPEG / PNG • Max 2MB

Membership Details

Type of Membership *

Date of Application *

Membership Number (assigned by Company)

Share Contribution (Initial & Ongoing)

Savings/Deposit Commitment

Preferred Payment Method

Investment Preferences

I have no restrictions on company’s investment types.

I wish to opt out of the following investment types:

Beneficiaries

Beneficiary 1

Full Name

Date of Birth

Gender

Relationship

% Allocation

Phone

Contact Address

In Case of Emergency/Incapacitation/Death please add following contact information:

Full Name *

Relationship to Applicant *

Contact Address *

Phone Number *

Email Address *

Payout Dividend to Bank

Bank Name *

Branch *

Account Name *

Account Number *

Account Type *

Declaration

I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to abide by the rules and regulations of the 7883 Investment Company.

Signature (Type Full Name)

Upload Signature Image

Please upload signature image (JPEG or PNG), Max. Size 1 MB