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Read each step and fill out the necessary details.

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Please read each section carefully. Fill in sections that are applicable to you.

Section 1 – Required KYC Information for Debit Card Only

First Name

Last Name

Phone Number

Other Number

Emaila valid email

email

Date of Birthe.g 31/2/1977

TRN Number

Type of Identification

Driver’s LicenseVoter’s IDPassport

Upload picture of IDupload

cloud_uploadUpload

Proof of Addressupload

cloud_uploadUtility Bill

Permanent Address

State or Parish you’re from?

Current Employment Status

Employed in a 9-5Self EmployedUnemployedSeeking Employment

Do you currently have a personal bank account?

YesNo

Do you have relatives/friends who may also be interested in receiving a Debit Card?

YesNo

How many persons?

OneTwoFive or moreOver 10

This section is specifically for persons who are currently operating a brick & mortar business.

Merchant Details

Type of Business?

RetailWholesaleRestaurant

Type of Industry?

Auto PartsFood/GroceriesOnline StorePharmaceuticalSalon

Are you interested in any of our services?

Inventory Manager/Point of SaleMerchant/Customer App to receive orders

Address of Business

Telephone Number

Nature of your business?more details

0 /

Number of Employees?

Number of Cashiers?

Number of items in inventory?

Company Email(if applicable)

Estimated Monthly Sales

Do you currently offer delivery services?

YesNo

Would like to offer delivery but don’t have the resources?

YesNo

Do you currently have a website?

YesNo

Would you like your customers to pre-order and pay to have goods delivered?

YesNo

Would you like to be able to accept cards in-store?

YesNo

Would you be interested in paying your employee(s) direct to card?

YesNo

This section is specifically for persons who are interested in Training.

Up-skilling & Re-tooling Training

Are you or a member of your staff interested in learning more about doing business online?

YesNo

Do you use currently use social media channels and would like to learn more on how to promote your business online?

YesNo

Which social media platforms are you on?

FacebookInstagramTiktokSnapchatWhatsAppNone

Do you sell online but find it difficult to the money sent to Jamaica?

YesNo

Are you interested in learning more about how to better manage your income and expendures?

YesNo

Would like to learn how you can build your credit based on your spending habits?

YesNo

Comment here if you have any questionsmore details

0 /

We hereby apply to Harmoney Tech Solutions LLC (the Service Provider) for approval to act as a merchant acquirer for the types of services and transactions which authorisation has been requested in the application. In consideration of the acceptance of our application, we hereby agree to be bound by the terms & conditions of the Merchant Agreement signed by us, which terms & conditions together with this application form, constitute a single agreement upon acceptance by the Service Provider.

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