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© Regulated by the Jersey Financial Services Commission, and licensed and regulated by the Central Bank of Bahrain as a conventional retail bank in the Kingdom of Bahrain 2012

World Selection Application Form

First Name
Last Name
Preferred Contact Number	(Please enter country code + area code + number) (e.g. +973 1756 9999)
Secondary Contact Number	(Please enter country code + area code + number) (e.g. +973 1756 9999)
Email
Job/Profession
Monthly Income (BHD)
Company Name
Convenient time to contact you

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