GE Legacy Planner Upline Info

Disclaimer: All information and attachment given in this form is intended solely for Koha use on identity verification and record purpose. The information provided will be kept confidential.

When Did You Attend How To Sell Larger Cases & Get More Prospects through Will Training with Koha? *

6/11/2023, Monday (Kuala Lumpur)
8/11/2023, Wednesday (Kuala Lumpur)

Your Full Name (as stated in IC) *

Your IC Number *

Your IC Copy (Front) *

Click or drag a file to this area to upload.

Your IC Copy (Back) *

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Your Agency Ranking *

Unit Manager
Group Manager
Agent
Direct Agent

Your Agency / Group Name *

Your Agent ID / Code *

Your Phone Number *

Your Bank Name *

Your Bank Account Number *

Your Bank Statement *

Click or drag a file to this area to upload.

Your Immediate Officer (IO) 1 Agency Ranking *

Unit Manager
Group Manager
I am a Direct Agent
No, I do not have an IO

Your Immediate Officer (IO) 1 Name *

*If you do not have IO, please write NIL.

Your Immediate Officer (IO) 1 Phone Number *

*If you do not have IO, please write NIL.

Your Immediate Officer (IO) 1 Bank Name *

*If you do not have IO, choose None.

Your Immediate Officer (IO) 1 Bank Account Number *

*If you do not have IO, please write NIL.

Your Immediate Officer (IO) 1 Bank Statement *

Click or drag a file to this area to upload.

*If you do not have IO, please re-upload Your Bank Statement. Please be noted that this is only to enable the submission of this form and may not be reflected for the actual pay-out process.

Your Immediate Officer 2 (IO) Agency Ranking *

Unit Manager
Group Manager
I am a Direct Agent
No, I do not have an IO

Your Immediate Officer (IO) 2 Name *

*If you do not have IO, please write NIL.

Your Immediate Officer (IO) 2 Phone Number *

*If you do not have IO, please write NIL.

Your Immediate Officer (IO) 2 Bank Name *

*If you do not have IO, choose None.

Your Immediate Officer (IO) 2 Bank Account Number *

*If you do not have IO, please write NIL

Your Immediate Officer (IO) 2 Bank Statement *

Click or drag a file to this area to upload.

*If you do not have IO, please re-upload Your Bank Statement. Please be noted that this is only to enable the submission of this form and may not be reflected for the actual pay-out process.

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