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I become seller JERIKO

Your personal information

Civility

Firstname*

Lastname*

Birth name

Birthday*

Birth place*

Native country*

National Insurance number*

Company status

Your contact details

Address*

Complement

Additional

ZIP code*

City*

Country*

Email*

Mobile phone*

Your future manager

Do you know a seller that you would like to have as a sponsor?

Yes No

Documents to provide us

NOTICE! Your documents must be:

valid
readable and of good quality
copies of originals
in doc, docx, pdf, jpg, jpeg or png format
not to exceed a weight of 4 mo

Pièce d'identité *

Your bank details

Bank account for the payment of your commissions

Iban number*

BIC code*

Bank name*