Xtrapriz · Fa Susu Gye Registration

Customer Details

Passbook No.

Customer Name

Ghana Card No.

Phone Number

Residential Address / Landmark

Next of Kin & Contact

Date Registered

Identification Photos

+ Portrait Retake

+ Card — Front Retake

+ Card — Back Retake

Savings Plan

Plan Type

Daily Weekly Monthly

Amount per Contribution (GHS)

Target Amount (GHS)

Target Item / Redemption Goal

Agent Details

Agent Name

Agent ID No.

Agent Contact

Guarantor Details

Guarantor Name

Guarantor ID No.

Guarantor Phone

Relationship to Customer

Submitting files the customer in the Xtrapriz register, saves their ID photos, and texts them their passbook number. The PDF button produces the two-page print-ready passbook with the Terms & Conditions and signature lines.

Registered — Passbook No.

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