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SUREFLOW BRIGHT FUTURES CLUB REGISTRATION FORM
Full Name *
Phone Number *
Email address *
SureFlow Finance Client Reference Number
Full residential address, including house/building number, street name, town/city, county/state (where applicable), and postcode/ZIP code. *
Valid government-issued identification document. Accepted forms of ID include a passport, driver’s licence, national identity card, voter’s card, or any other officially recognised photo identification document. *
Clear selfie of yourself holding your identification document. Your face and the details on the ID should be clearly visible. *
Emergency contact details; Your emergency contact should be someone we can reach if we are unable to contact you directly. *
Full bank details, including Account Name, Bank Name and Account Number. Please ensure all information provided is accurate, as these details may be used for withdrawals and account verification purposes. *
What is the child’s full name? Please provide the child’s full legal name as it appears on their birth certificate or official identification documents. *
What is the child’s date of birth? Please provide the child’s date of birth in the format DD/MM/YYYY. *
What is the child’s gender? Please select or specify the child’s gender. *
Male
Female
What is your relationship to the child? Please specify whether you are the parent, guardian, grandparent, relative, or have another relationship to the child. *
What are you saving for? Please tell us the purpose of your savings goal, such as school fees, university tuition, birthday celebrations, school uniforms & supplies, future business support or long term future goals. *
What amount would you like to save towards this goal? Please enter your target savings amount so we can help you structure a suitable savings plan. *
Preferred Contribution Frequency. How often would you like to make contributions to your Savings Plan? *
Daily
Weekly
Monthly
How long are you willing to commit to saving? Please select or specify the length of time you would like to participate in your Savings Plan (for example: 3 months, 6 months, or 12+ months) *
3 months
6 months
12+ months
Do you confirm that all information provided is true, accurate, and complete to the best of your knowledge? *
Yes
No
Do you confirm that you have read, understood, and agree that participation in the Bright Futures Club is subject to the programme’s Terms and Conditions? *
Yes
No
Before clicking Submit, please ensure: ✓ All required fields have been completed. ✓ All required documents have been uploaded. ✓ Your bank statement covers the last 3 months and is in PDF format. ✓ Your selfie clearly shows your face and your ID. *
All required fields have been completed.
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