LEXIE SOLUTIONS LTD

Burj Salaam Complex, Ntinda Kigowa Rd Kampala Uganda

Email:info@lexietech.coom.

Website: www.lexietech.com

Tel: (+256) 758973319 / (+256) 754823351

Burj Salaam Complex, Ntinda Kigowa Rd Kampala Uganda Email: info@lexietech.com Website: www.lexietech.com Tel: (+256) 758973319 / (+256) 754823351

Burj Salaam Complex, Ntinda Kigowa Rd Kampala Uganda
Email: info@lexietech.com Website: www.lexietech.com
Tel: (+256) 758973319 / (+256) 754823351

MEMBERSHIP APPLICATION FORM

Your Name (required)

Your Email (required)

GENDER
MALEFEMALE

DATE OF BIRTH

OCCUPATION: (required)

ID NIN: (required)

PHYSICAL ADDRESS: (required)

CITY: (required)

COUNTRY:(required)

PHONE NUMBER: (required)

UPLOAD ID PHOTO/PASSPORT (required)

I(YOUR NAME BELOW) HERE BY APPLY FOR MEMBERSHIP IN LEXIE INVESTMENT CLUB. I TAKE TO ABIDE BY ALL THE MEMBERSHIP
CONDITIONS OF THE UBS-LEXIE INVESTMENT VENTURE PROGRAM AS CONTAINED IN THE UBS BY-LAWS.