Zation

then
mo po at
send mo again sa aki.
AIM
IDpicturan
APPLICATION
FORM
BCO:________________________
Date:____________

FIRST NAME:

AIM ID APPLICATION FORM

MIDDLE INTIAL:
LAST NAME:

NAME OF DISTRIBUTOR:
__________________________________________

USER ID NUMBER:

USER ID NUMBER:
_______________________________________________
CONTACT NUMBER:
______________________________________________

CENTER YOUR SIGNATURE WITHIN THE

BOX

PLS. PROVIDE
1 x 1 COLORED
PHOTO

AIM ID CLAIM STUB

(DISTRIBUTORS COPY)
DATE: ________________________________________________________
NAME: _______________________________________________________
USER I.D. NUMBER:
_____________________________________________

I, __________________________, hereby authorize

____________________ to facilitate this application and receive
my AIM GLOBAL ID on my behalf.
Attached herewith are the photocopies of my 2 valid IDs.
(Valid IDs must be Government Issued IDs)
l
_________________________
_________________________
Signature over Printed Name
Signature over Printed Name
of distributor CERTFICATION
of authorized Person
This is to authorize __________________________ to file my
application for International ATM and claim the same in my
behalf.
Attached are the photocopies of my AIM GLOBAL ID and 2
valid IDs.
(Valid IDs must be Government Issued IDs)
_________________________
_________________________
Signature over Printed Name