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America (United States) Dollars – USD
Afghanistan Afghanis – AFN
Albania Leke – ALL
Algeria Dinars – DZD
Argentina Pesos – ARS
Australia Dollars – AUD
Austria Schillings – ATS
Bahamas Dollars – BSD
Bahrain Dinars – BHD
Bangladesh Taka – BDT
Barbados Dollars – BBD
Belgium Francs – BEF
Bermuda Dollars – BMD
Brazil Reais – BRL
Bulgaria Leva – BGN
Canada Dollars – CAD
CFA BCEAO Francs – XOF
CFA BEAC Francs – XAF
Chile Pesos – CLP
China Yuan Renminbi – CNY
RMB (China Yuan Renminbi) – CNY
Colombia Pesos – COP
CFP Francs – XPF
Costa Rica Colones – CRC
Croatia Kuna – HRK
Cyprus Pounds – CYP
Czech Republic Koruny – CZK
Denmark Kroner – DKK
Deutsche (Germany) Marks – DEM
Dominican Republic Pesos – DOP
Dutch (Netherlands) Guilders – NLG
Eastern Caribbean Dollars – XCD
Egypt Pounds – EGP
Estonia Krooni – EEK
Euro – EUR
Fiji Dollars – FJD
Finland Markkaa – FIM
France Francs – FRF*
Germany Deutsche Marks – DEM
Gold Ounces – XAU
Greece Drachmae – GRD
Guatemalan Quetzal – GTQ
Holland (Netherlands) Guilders – NLG
Hong Kong Dollars – HKD
Hungary Forint – HUF
Iceland Kronur – ISK
IMF Special Drawing Right – XDR
India Rupees – INR
Indonesia Rupiahs – IDR
Iran Rials – IRR
Iraq Dinars – IQD
Ireland Pounds – IEP*
Israel New Shekels – ILS
Italy Lire – ITL*
Jamaica Dollars – JMD
Japan Yen – JPY
Jordan Dinars – JOD
Kenya Shillings – KES
Korea (South) Won – KRW
Kuwait Dinars – KWD
Lebanon Pounds – LBP
Luxembourg Francs – LUF
Malaysia Ringgits – MYR
Malta Liri – MTL
Mauritius Rupees – MUR
Mexico Pesos – MXN
Morocco Dirhams – MAD
Netherlands Guilders – NLG
New Zealand Dollars – NZD
Norway Kroner – NOK
Oman Rials – OMR
Pakistan Rupees – PKR
Palladium Ounces – XPD
Peru Nuevos Soles – PEN
Philippines Pesos – PHP
Platinum Ounces – XPT
Poland Zlotych – PLN
Portugal Escudos – PTE
Qatar Riyals – QAR
Romania New Lei – RON
Romania Lei – ROL
Russia Rubles – RUB
Saudi Arabia Riyals – SAR
Silver Ounces – XAG
Singapore Dollars – SGD
Slovakia Koruny – SKK
Slovenia Tolars – SIT
South Africa Rand – ZAR
South Korea Won – KRW
Spain Pesetas – ESP
Sudan Dinars – SDD
Sweden Kronor – SEK
Switzerland Francs – CHF
Taiwan New Dollars – TWD
Thailand Baht – THB
Trinidad and Tobago Dollars – TTD
Tunisia Dinars – TND
Turkey New Lira – TRY
United Arab Emirates Dirhams – AED
United Kingdom Pounds – GBP
United States Dollars – USD
Venezuela Bolivares – VEB
Vietnam Dong – VND
Zambia Kwacha – ZMK
SSN/National ID No
Name and Address of Employer:
Employment Type:
Type of Employment
Self Employed
Public/Government Office
Private/Partnership Office
Business/Sales
Trading/Market
Military/Paramilitary
Politician/Celebrity
Monthly Net Salary:
Select Salary Range
$100.00 - $500.00
$700.00 - $1,000.00
$1,000.00 - $2,000.00
$2,000.00 - $5,000.00
$5,000.00 - $10,000.00
$15,000.00 - $20,000.00
$25,000.00 - $30,000.00
$30,000.00 - $70,000.00
$80,000.00 - $140,000.00
$150,000.00 - $300,000.00
$300,000.00 - $1,000,000.00
Beneficiary Name:
Beneficiary Occupation:
Next of Kin Residential Address:
Choose Security Questions 1:
Select Question One
What is your pet name?
What is your nick name?
What is the name of your first car?
when did you finish high school?
your favorite music?
your favorite movie
your favorite role model
favorite state?
Choose Security Questions 2:
Select Question Two
What is your pet name?
What is your nick name?
What is the name of your first car?
when did you finish high school?
your favorite music?
your favorite role model
favorite state?
Answer of Question one:
Answer of Question two:
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required.
min of 6 characters.
max 10 characters.
Confirm Password:
required.
values don't match
Choose Account 2FA PIN:
2FA Pin is required.
at least 4 characters.
max of 6 characters.
2FA Pin must be Integer.
Confirm Account 2FA PIN:
Confirm Password is required.
Account 2FA Pin is required.
values don't match
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