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… Touching lives and Empowering People

REGISTRATION FORM:
SPONSOR’S INFORMATION
Sponsor ID/Username

PERSONAL INFORMATION
First Name Last Name

Mobile No Gender

Date of Birth

CONTACT INFORMATION
Address

City State Country

SECURITY INFORMATION
Create Username Password

Email Transaction Password

BANK ACCOUNT
Bank Name Acct. No

Branch Acct. Holder Name

NEXT OF KIN DETAILS


Name Relationship

Date of Birth Phone Number

DISCLAIMER: Your $40 Payment Is Only A Donation Toward H2i Charity Mission,
It Does Not Guarantee Earnings And Award Of Any Kind, And Its Non-Refundable.
The Only Guarantee To Earnings And Compensation Is Your Involvement In The
Business Plan.

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