POOLSPLAYER
REGISTRATION FORM
(for fixed odds, football betting and lotto operators)
Your company logo
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Passport Photo
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Section A: Director's Details
Title
Mr
Dr
Chief
Mrs
Surname
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Other names
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Gender
Female
Male
Address
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Local Government Area
Date of Birth
Contact phone number
Email Address
Choose your ID
Passport
NIN
Driver's License
Voter's Card
Tin
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Section B: Company's Details
Company Name
CAC Registration Number
Address
Operation
Pools
Lotto
Sports Bet
Lottery
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Federal License Number
State License Number