Management Till

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					M-NAIRA STORE MANAGEMENT TILL APPLICATION FORM                    (Email: m-naira@esoftng.net)




NAME OF OUTLET

                              REGION:


ASSOCIATED AGENT/HEAD OFFICE:
1. STORE DETAILS


                              City/town:
Physical Location of Store




                        Office Phone No:


                                  Email:
2. STORE PRIMARY ASSISTANT


Name of Administrator

               ID Numbe(Attach copy ):                                                                      Mobile:



                                  Email:
Name & Mobile of key M-NAIRA Contact: (if different from above)                                    Email Address:




Confirmation                               Name:                                    Designation:                      Signature/Official Stamp:   Date:
E-Soft Internal Use Only


Store Number


Short Code/Till No


Administrator's ID

Sim No. allocated



Phone Serial No.

				
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posted:9/16/2012
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