Get Trained Get Paid on forex Training

1. Hisplus FOREX Training Registration Form Form No: 010____
IMPORTANT: Please attach your passport photograph on the upper right.
Please print or write legibly, scan and email back
Last Name First Name Middle Name Title Write User Name (Alias)
Address City Country
Mobile-1: Email Address Marital Status Next of Kin
Mobile-2:
Training Group Registration Fees
( Tick as appropriate)
20% Earning Per Month / Group End of Year Bonus / Group
A. N50,000
B. N200,000
C. N500,000
A. N10,000
B. N 40,000
C. N100,000
A. N0
B. N130,000
C. N430,000
Please pay your registration fee in Naira equivalent to
Bank Name: Access Bank PLC, Jibowu Branch, Lagos
Account Name: Hisplus Systems Limited
Account Number: 0030383052
Submit the completed form and a copy of the Bank’s teller
to Hisplus Systems Limited by scan and email or Drop
Official Remarks
Signature: Date:
Official Use Only
Currency S/N Code
Naira HFT-____-0813
REGISTRATION FEE :
N CASH CHEQUE BANK PAYMENT
Systems Limited
2b Bola Crescent, off Anthony village road, Anthony,
Lagos, Nigeria. Tel: +234-809-505-2922
Website: www.hisplus.net email: forex@hisplus.net
Affix Photo