Bond registation form

Name of the applicant

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

WhatsApp No

Email Address

Nationality

Passport/ Ethiopian Origin ID No/

Bond Value

EUR

Select

I INSTRUCT THE BANK TO HAVE CUSTODY MY BOND COUPON.Check if yes

I INSTRUCT THE BANK TO SEND THE BOND TO MY ADDRESS INDICATED ABOVEBY COVERING THE COST. (Select this ONLY for purchase amount ≥ 2000 USD or equivalent)Check if yes

I INSTRUCT THE BANK TO SEND THE BOND TO MY ADDRESS INDICATED ABOVE BY DEDUCTING FROM THE AMOUNT I HAVE SENT FOR BOND PURCHASE (Select this option for purchase amount LESS THAN 2,000 USD or equivalent).Check if yes

I INSTRUCT THE BANK TO HAND OVER THE BOND TO MY LEGAL AGENT (Power of attorney required).Check if yes

CREDIT MY ACCOUNTNUMBER(Account in Ethiopian Banks)Check if yes

PAY ME IN CASH AT THE BANK’S COUNTERCheck if yes

SEND ME THROUGH TRANSFER (THE TRANSFER CHARGES WILL BE COVERED BY THE BOND HOLDER)Check if yes

PAY TO MY LEGAL AGENT ((Power of attorney required).Check if yes

Name & address of legal agent

NAME& SIGNATURE OF THE ISSUER

NAME & SIGNATURE OF THE BOND HOLDER

BOND COUPON NO

REMARKS

Upload file like passport/ethiopian origin iD/ Bank transfer / Passport size photo ext

Upload passport size photo

No file chosen

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