elnexu_consult

AGENT APPLICATION FORM

PERSONAL DETAILS

BUSINESS INFORMATION

Terms and conditions

BUSINESS INFORMATION

PERSONAL DETAILS

*TITLE

*SURNAME

*FIRST NAME

*MIDDLE NAME

*DOB

*GENDER

Male Female

*NATIONALITY

*MOTHER'S MAIDEN NAME

*PHONE NO

OTHER NO

PERSONAL DETAILS

*EMAIL

*BVN

*LOCAL GOVT

*STATE

*RESIDENTIAL ADDRESS

*CLOSEST LANDMARK

*NEAREST BUS/STOP

BUSINESS INFORMATION

BUSINESS NAME

BUSINESS SEGMENT/INDUSTRY (Please tick as appropriate)

Stores/Supermarket

Hospital

Restaurant

Hotel/Guest Houses

Business Centre

School

Others (Please specify)

None

TYPE OF IDENTIFICATION PROVIDED (Please tick as appropriate) DRIVER'S LICENCE NATIONAL ID CARD VOTER'S CARD INTERNATIONAL PASSPORT

*ID Number

*Existing Account No.

*Bank

Terms and conditions

1. The terminals are under the management of Elnexu Consults.

2. The terminal is not to be used for illegal business. The agent is responsible for any fraud committed with the terminal.

3. The agent will notify Elnexu or the acquiring bank for any damage on the terminal, fraud or any observed irregularity of transactions.

4. Commission, where applicable shall be disbursed as agreed.

5. Terminals are deployed with three months’ probation and will be retrieved after one month of poor usage. (i.e. Less than 3.5 million in value)

6. Transactions are settled T+1 with a cut-off time of 9pm on transaction day (T).

7. Weekend transactions (Saturday and Sunday) will be settled on the following working day.

8. Terminals are not to be used for fraudulent/criminal/money laundry transactions. The agent is responsible for any liability, loss and any lawsuit for fraudulent transactions.

Terms and conditions

9. The agent is liable for any malicious damages to the terminals/unauthorized use of different charger or sim cards in the terminal.

10. Elnexu Consults is not liable for any loss or damage caused by transaction failure by third parties in the processing cycle.

I, , hereby state that all the information given herein and documents provided are correct and valid. I agree that where information provided in this document is found to be false, legal actions can be taken against with all proven liability on me.

NAME: SIGNATURE: Date:

KYC DOCUMENTS TO UPLOAD

1. Utility Bill

2. Copy of ID Card

3. Passport

BUSINESS INFORMATION

Tick preferred Pricing Option

Option A: Agent Settlement @ 0.8% charge. The Agent marks-up but shares no income with Elnexu.

Option B: Agent is Settled @ 1% charge. Agent receives 25% net of NIBSS MSC.

Option C: Fixed charge of N100 on N10,000. Agent Receives 40%.

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