Levels of information to include:
0 1 2 3 4

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(0) Name and surname


(0) Mobile phone number


(0) E-mail address


(0) Physical address


(0) Postal address


(1) Other phone number


(2) National ID or passport number


(2) Bank name


(2) Bank account number


(2) Bank branch code


(2) Bank account type


(3) Medical fund


(3) Medical fund number


(3) Medical fund member


(3) Medical notes


(3) Emergency contact


(4) Employer


(4) Employer contact detail


(4) Position at employer


(4) Income tax number



Attach files here, if required.

Enter PIN 1 which a service provider has given you just now, if you have it, and wish to transmit the information now.

PIN 1

If the service provider is not registered with Yimi, direct them to the free Yimi SP at sp.yimi.pw.

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