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Power your small business with Mansa

Contact Person
First name *
Last name *
Phone number *

+44

    Email address *
    Company Information
    Upload Logo (Upload your company's logo) *
    Certificate of Incorporation *
    Memorandum & Articles of Association
    Tax certificate
    Profiles of Owner/Directors/Shareholders
    Profile
    Role at the business *
    Legal First Name *
    Legal Last Name *
    Date of birth *
    Country of origin *
    Percentage owned in the company *

    %

    Declarations & Authorizations
    Declaration of Ultimate Beneficial Owners (UBO’s) (If your organization owns shares in another company, please provide the names of the individuals who own or control that company for transparency and compliance)
    Legal First Name *
    Legal Last Name *
    Percentage owned in the company *

    %

    Executive Management Profiles (This item is referring to the CV or biography of the members of the Management Committee of the entity (DG, CEO, DGA, CFA, Legal Director, Compliance Director etc. Provide if available).
    Legal First Name *
    Legal Last Name *
    Bio *
    Upload resume *

    MANSA authorization letter for appointing the platform administrator (To customize on a letterheaded paper with your company's logo) *

    First, download the sample, then upload the form when completed.

    MANSA Questionnaire for SMEs (download the attached document, complete, sign and upload) *

    First, download the sample, then upload the form when completed.

    MANSA Contribution Agreement (download the attached document, sign and upload) *

    First, download the sample, then upload the form when completed.

    Associations & Memberships (If any)

    Mansa Logo

    72 (B) El-Maahad El-Eshteraky Street – Heliopolis Cairo 11341, Egypt.

    info@themansa.africa

    +234 000 0000 000


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