stockist Reg – My longrich business

Registration

RegistrationStockist

- Membership Type
- Select Area of Training
  - General Business Presentation
  - Product Training
  - Compensation Plan
  - Leadership
  - Marketing & Sales
  - Business Strategy
  - others
- Enter Other training areas
- Longrich Membership Code Enter your Membership Number
- Business Name Enter business name
- Stockist Code enter your stockist code
- Location (Region)*
- Stockist Physical Address Enter your Stockist Physical Address
- Location (City/Town) Tell us the city where your business is located
- Referee( Name Two Star Directors)
- Name of Star Director 1
- Contact Number ( Star Director 1) Required phone number format: (###) ###-####
- Contact Number ( Star Director 2) Required phone number format: (###) ###-####
- Say something About your self (one sentence max)
- Username*
- First Name
- Last Name
- Gender
- Contact Number Required phone number format: (###) ###-####
- E-mail*
- Password* Minimum length of 3 characters.
- Date of Sign Up*
- Middle Name
- Longrich Membership Number
- Date of Birth
- Place Of Birth ( Town / City / Village Name )
- Home Town
- Marital Status
- Permanent Address / Contact Info
- House Number
- GPS Address
- Nearest Landmark
- Primary Occupation
- institution
- Name of Star Director 2
- Company
- Type of Trade
- Type of skill
- Specify
- Job Title
- Locaion
- Class / Level / Program
- Guardian Surname
- Guardian First Name
- Guardian's Occupation
- Guardian Relationship with Member
- Guardian Contact Number
- Is Guardian a member of the Union
  - yes
  - no
- Guardian Consents *
  - yes
- Membership Type*
  - Regular Membership
  - Prestige Membership
  - Agency Membership
- Shares Account ( ₵ GHS)
- Member Savings Account ( ₵ GHS)
- Longrich Trading Account ( ₵ GHS)
- ×The maximum number of fields has been reached.
  - ×+
  - Name
  - Age
  - Relationship
  - %
  - Contact
  - ×+
  - Name
  - Age
  - Relationship
  - %
  - Contact
- ×The maximum number of fields has been reached.
  - ×+
  - name
  - Age
  - Longrich membership Number
  - Contact
  - Relationship with Applicant
  - How long have you known the Applicant
  - ×+
  - name
  - Age
  - Longrich membership Number
  - Contact
  - Relationship with Applicant
  - How long have you known the Applicant
- How did you get know about the credit union
- how did u hear
- Select Agency
- ×The maximum number of fields has been reached.
  - ×+
  - Name
  - Membership Number
  - ×+
  - Name
  - Membership Number
- Declaration*I do Confirm that all the statements and answers given above or attached to this application are true and complete to the best of my knowledge and belief, that I have not withheld any material fact. I AGREE that this application shall be the basis of and form part of this contract. I UNDERSTAND that my membership shall not be in effect until: a. the application form has been completed and endorsed by a witness. b. the registration fees and initial deposits have been paid. I further declare that I have read and been educated about the policies of the union and I agree to all the policies
- Bio Data
- Age
- Occupation
- Account Information
- Initial Deposit
- Next of Kin
- Witness
- WhatsApp Number
- Phone Number
- Membership Details ( Regular Membership )
  ✅Membership Registration Fees (One Time) ₵20.00 ✅Membership Dues 2.00ghs/month or ₵20.00 per year (payable in advance in full)
- Membership Details ( Prestige Membership )
  ✅Membership Registration Fees (One Time) ₵30.00 ✅Membership Dues 5.00ghs/month or ₵50.00 per year (payable in advance in full)
- Membership Details ( Agency Membership )
  ✅Membership Registration Fees (One Time) ₵50.00 ✅Membership Dues ( EXEMPTED )
- WITHDRAWAL RECEIPTS ACCOUNT:
- ×The maximum number of fields has been reached.
  - ×+
  - BANK NAME
  - BANK ACCOUNT NAME
  - BANK ACCOUNT NUMBER
  - BANK ACCOUNT BRANCH
  - ×+
  - BANK NAME
  - BANK ACCOUNT NAME
  - BANK ACCOUNT NUMBER
  - BANK ACCOUNT BRANCH
- ×The maximum number of fields has been reached.
  - ×+
  - MOBILE MONEY COMPANY
  - MOBILE MONEY NUMBER
  - MOBILE MONEY ACCOUNT NAME
  - ×+
  - MOBILE MONEY COMPANY
  - MOBILE MONEY NUMBER
  - MOBILE MONEY ACCOUNT NAME
- ×The maximum number of fields has been reached.
  - ×+
  - Xpress Pay Account Number
  - Xpress Pay Account Name
  - ×+
  - Xpress Pay Account Number
  - Xpress Pay Account Name
- Upload Copy Of ID ( PDF, JPG, JPEG ) *Upload
- Upload Copy Of your Passport PhotoUpload
- Mode of payment
- Mobile Money (Transaction ID)*
- Cash Deposit (Attach deposit advice or proof of payment)*Upload
- Bank Transfer (Attach proof of payment)*Upload
- Select ID type
- Mode of Payment (Deposits)
- Proof Of Identity

Send these credentials via email.

RegistrationStockist

Referee( Name Two Star Directors)

How did you get know about the credit union

Bio Data

Occupation

Account Information

Initial Deposit

Next of Kin

Witness

Membership Details ( Regular Membership )

Membership Details ( Prestige Membership )

Membership Details ( Agency Membership )

WITHDRAWAL RECEIPTS ACCOUNT:

Mode of Payment (Deposits)

Proof Of Identity