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Greentrade Buying Agent Onboarding & Disclosure Form
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SECTION 1: AGREEMENT DETAILS
Agreement Date
MM
/
DD
/
YYYY
Company
Your answer
Governing SOP Version
Your answer
SECTION 2: PERSONAL INFORMATION
Full Legal Name (as per ID)
*
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
*
Male
Female
Nationality
*
Your answer
Residential Address
*
Your answer
State of Origin
*
Your answer
Local Government Area (LGA)
*
Your answer
SECTION 3: CONTACT DETAILS
Primary Phone Number
*
Your answer
Alternate Phone Number
Your answer
Email Address
Your answer
SECTION 4: IDENTIFICATION & KYC
Type of ID Provided
*
National ID
International Passport
Driver’s Licence
Voter’s Card
Identification Number
Your answer
ID Expiry Date
MM
/
DD
/
YYYY
Passport Photograph Attached (officials only)
Yes
No
Clear selection
Means of Identification Verified (officials only)
Yes
No
Clear selection
SECTION 5: BANKING DETAILS
Bank Name
*
Your answer
Account Name (Must Match Agent Name)
*
Your answer
Account Number
*
Your answer
BVN
*
Your answer
SECTION 6: OPERATIONAL PROFILE
Primary Operating State
Your answer
Secondary Locations
Your answer
Primary Commodities Handled
Soybeans
Cashew nuts
Cocoa
Maize
Paddy Rice
Sorghum
Sesame
Hibiscus
Other
Years of Experience in Commodity Trading
Your answer
Do you have access to Weighing Scale?
Yes
No
Clear selection
Warehouse Access
Yes
No
Clear selection
Transport Network
Yes
No
Clear selection
SECTION 7: NEXT OF KIN
Full Name
Your answer
Relationship
Your answer
Phone Number
Your answer
Address
Your answer
SECTION 8: COMPLIANCE & DISCLOSURE
Do you have any relationship with commodity sellers?
Yes
No
Clear selection
If yes, provide details
Your answer
Conflict of Interest Disclosure Submitted (officials only)
Yes
No
Clear selection
Arm’s Length Dealing Acknowledged (officials only)
Yes
No
Clear selection
SECTION 9: DECLARATION
I confirm all information provided is true and accurate
*
Yes
No
SECTION 10: DISCLOSURE FORM
Full Legal Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Residential Address
Your answer
Do you have any relationship with any seller/supplier?
Yes
No
Clear selection
Name of Related Party
Your answer
Nature of Relationship
Family
Business Partner
Financial Interest
Employee/Agent Relationship
Other
Description of Relationship
Your answer
Do you receive any benefit from this party?
Yes
No
Clear selection
If yes, specify
Your answer
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