Customer Registration Form List of Directors/Stakeholders Certificate of Company Registration Company profile to include: NAPSA, ZRA Tax clearance, PACRA & ZPPA Certificates BANK 1Account Number: Beneficiary Name: Beneficiary Address: Correspondent Bank & Address: Swift/BIC Code: Currency: BANK 2Account Number: Beneficiary Name: Beneficiary Address: Correspondent Bank & Address: Swift/BIC Code: Currency: VAT/TAX Payers Identification Number Date I attest that the information provided on this form is authentic. Δ