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Registration Form
PR
Entity Details
Registering Entity Name
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Industry Group
Banks
Savings and Loans
Finance House
Finance and Leasing Companies
Leasing Companies
Mortgage Finance
Rural and Community Banks
Microfinance (Deposit-Taking)
Microfinance (Non Deposit-Taking)
Microfinance (FNGO)
Forex Bureaux
Remittance Companies
Representative Offices
Apex Bank
Electronic Money Issuers
FinTech
Resolved Institutions
Credit Reference Bureaus
Development Finance Institutions
Internal Departments
Apex Bodies
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Address
First Address Line
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Second Address Line
Third Address Line
Town/City
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District
Region
Ahafo Region
Ashanti Region
Bono East Region
Bono Region
Central Region
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Greater Accra Region
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Northern Region
Oti Region
Savannah Region
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Western Region
Country
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China
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Cook Islands
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Iraq
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South Sudan
Spain
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Sweden
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Syrian Arab Republic (Syria)
Taiwan, Republic of China
Tajikistan
Tanzania, United Republic of
Thailand
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Tonga
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Tunisia
Turkey
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Turks and Caicos Islands
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Uganda
Ukraine
United Arab Emirates
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United States of America
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US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic)
Viet Nam
Virgin Islands, US
Wallis and Futuna Islands
Western Sahara
Yemen
Zambia
Zimbabwe
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Postal/Zip Code
Digital Address Code (GPS)
Principle User Details
First Name
*
Last Name
*
Email
*
Confirm Email
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Telephone
International
Area Code
Number
*
*
*
Principle User Role in Entity
Type of ID
Driving License
Ghana Card
LEI Number (Legal Entity Identifier)
NHIS
Passport
Practice Number
Registration Number
SSNIT Card
Voter ID
Other
ID Number
*
Please attach ID
I hereby confirm that I am authorised to act on behalf of this entity to submit an 'Application for Licence'.
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