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Customer Information

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English Name*

Arabic Name*

Gender*

Mobile Country Code*

Mobile*

Email*

Nationality*

Nationality 2*

Date of Birth*

Place of Birth *

Type Of Identification*

Identification Number*

Identification Place Of Issue*

National Number*

Identification Issue Date*

Identification Expire Date*

Proof Of work*

Proof Of address*

Personal ID Back*

Personal ID Front*

Passport picture*

IBAN*

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Occupation*

Industry*

Profession*

Workplace*

Country*

City*

Area*

Street*

Address*

Total annual income*

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EXCHANGE AGREEMENT

Brokerage Agreement