Register – Bond registration

Telegram User Name

E-mail Address

Gender

MaleFemale

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First Name

middle name

Last Name

Street Address

Street Address 2

ZIP Code

City

Country

Phone Number

Mobile Number

Password

Confirm Password

Languages Spoken

Birth Date

Nationality

passport number

passport Picture

Zimbonds paid for with Gerry / Vello

Agrochecks paid for with Gerry / Vello

Payment slip for bonds

Did you gift / inherit the Bond(s) to someone else?

noyes

to whom? Please name Bond type, amount & tell name & address of each individual

did you inherit the bonds from someone?

noyes

who did you inherit which bonds from? (Name bond type, amount and name and address of previous owner)

noyes

Please name previous owner, type and amount of bonds

Only fill in if you are not human