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This Hire – Purchase Application and Agreement Form constitutes a legally binding agreement between the Hire –Purchase applicant (“The Buyer”) and myPence. (“The Seller”).

myPence-Registration-Form-informalSector

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Informal Sector - Application

myPence Client Registration

Welcome to myPence! We’re glad you’re here. Please take a moment to complete your registration—it’s simple, secure, and opens the door to great services tailored for you.

myPence — Empowering your convenience.

Ghana Card

For e.g. GHA-000-000-00

Name of Sales Representative

Personal Details

Information from the applicant

First Name

Middle Name

Last Name

Date of Birth

Nationality

Whatsapp Number

Phone/Mobile

Number of Dependents:

Gender

Male

Female

Marital Status

Single

Married

Resident Address

Include community, house number if available, landmarks etc.

Digital Address

Ghana Post Address

Next of Kin

Some description about this section

First Name

Middle Name

Last Name

Relation

Phone/Mobile

Address

Occupational / Business Information

Some description about this section

Type of Occupation

Business Name (if any)

Is your Business Registered?

Yes

Business Location / Address

Duration in Business (Years)

Monthly Income (GHS)

Monthly Expenses (GHS):

Nature of Business Premises

Owned

Rented

Roadside

Market Stall

Business Days / Working Hours

Financial Information

Please accurately detail your monthly or annual income, employment status, major debts (such as loans or credit card balances), and any relevant assets. This information is used to verify your ability to meet the financial obligations of the agreement.

Do you operate a Bank or Mobile Money Account?

Yes

Name of Bank / MoMo Service

Account / Merchant Number:

Preferred Payment Method

Momo

Cash

Bank Transfer

Do you have any existing loans?

Yes

Name of Institution

Outstanding Amount

Average Weekly or Monthly Sales (GHS):

How do you plan to make payments?

Daily

Weekly

Monthly

Product / Service Request Details:

Please specify the exact product you are requesting, including quantities, preferred specifications, and any requirements. Description of this section

SKU Number

Name of Product

Supplier / Vendor

Product Price (GHS):

Purpose of Purchase

Repayment Duration

Amount Payable GH¢

Guarantor / Reference Information

Please provide the contact details for your nominated Guarantor or the individuals/organisations who will serve as professional References for this application.

Ghana Card Number of Guarantor

Full Name

Relationship to Applicant

Occupation

Phone/Mobile

Residential Address

Business Address

Verification and Attachments

Some description about this section

Upload passport picture

Passport Picture to be uploaded

Choose File

Proof of Business Address

utility bill, tenancy agreement, or witness confirmation

Choose File

Business location photo

if required for field verification

Choose File

Payment

Some description about this section

The amount indicated will be processed as your payment

I hereby declare that the information provided above is true and accurate. I authorise myPence Limited to verify the information and to use it for processing my application, in accordance with the Data Protection Act 2012 (Act 843). I also agree to the Terms and Conditions associated with this application.

Register

Informal Sector - Application

Personal Details

Next of Kin

Occupational / Business Information

Financial Information

Product / Service Request Details:

Guarantor / Reference Information

Verification and Attachments

Payment

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