Application Form for Personal Account
Information below should match with your supporting documents.
Email address *
First Name *
Last Name *
Name of Employer and Job Title
(If you're a business owner, enter the Business Name and Business Type.)
Mobile Number *
Whatsapp Contact Number *
All our trading will be conducted over Whatsapp. If you do not have the app, kindly download this into your device.
Date of Birth *
Country of Citizenship *
Present Address *
City *
Country *
Permanent Address (if it differs from above)
Please upload a scan or picture of your valid, government issued picture ID card here. *
Passport, Driver's License, National ID, Social Security ID
Proof of Address *
Utility Bills, Cellphone Bills, Credit Card Bills, etc. This needs to display your name and residential address clearly. Not older than 3 months.
Purpose of Account
Please describe how you intend to use your Bloom account.
Declaration: *
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