Epsom Energy Account Opening Form
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Epsom Account Form
Notify
Name of Applicant
Email
Phone/Mobile
PIN
Registration Number
Town
Postal Address
First Contact Person
Second Contact Person
Position
Position
Business Physical Location
Building
Floor
Street
Type of Business
Nature of Business
Year of Incorporation
Parent Company If Any
Company Account Banker(s) and Branch(es)
Account Numbers
Upload Copy of valid EPRA Petroleum Business License (where applicable) OR relevant Regulator Certificates (foreign companies)
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Upload CR12 not older than 6 months (local companies) OR relevant Company Registry Extract (foreign companies)
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Upload Copy of Certificate of Incorporation or Registration
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Upload Copies of your latest 2 years audited accounts (Credit Customers only)
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Business Type
Limited Liability Comapny
Sole Proprietor
Partnership
Annual Turnover
Name of Directors
National ID No / Passport No.
Upload PIN Certificate
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Upload Copies of National ID / Passport for the Company Directors
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Upload Copies of AOA and MOA
Choose File
Upload Bank Guarantee equivalent to your credit limit (Credit Customers only)
Choose File
Submit Details
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