INSESO · Forms

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Fields marked * are required. Sections reserved for INSESO are completed at the office.

01 General information

Company name *Maximum 180 characters; do not use < or >.

Application type *Select one option only.

Initial registrationChange of name

02 Identification details

Sector *Select one option only.

PrimarySecondaryTertiary

Number of employeesEnter a whole number of up to 6 digits.Commercial Register number3–60 characters: letters, numbers, spaces, full stops, slashes or hyphens.Tax identification number *3–60 characters: letters, numbers, spaces, full stops, slashes or hyphens.Main activityMaximum 180 characters; do not use < or >.Share capitalNon-negative amount, without thousands separators; up to two decimal places.

03 Address

LocationMaximum 180 characters; do not use < or >.Town or cityMaximum 180 characters; do not use < or >.ProvinceMaximum 180 characters; do not use < or >.

INSESO delegationSelect one option only.

National DelegationRegional DelegationProvincial Delegation

Provincial delegation, if applicableMaximum 180 characters; do not use < or >.

04 Bank details

BankMaximum 180 characters; do not use < or >.BranchMaximum 180 characters; do not use < or >.Account6–40 characters: letters, numbers, spaces or hyphens.

05 Person responsible

First name *Use letters, spaces, hyphens or apostrophes (2–120 characters).Surname *Use letters, spaces, hyphens or apostrophes (2–120 characters).Date of birthPlace of birthMaximum 180 characters; do not use < or >.Country of birthMaximum 180 characters; do not use < or >.NationalityMaximum 180 characters; do not use < or >.

Type of identity documentSelect one option only.

DIPPassportResidence permit

Identity document number3–60 characters: letters, numbers, spaces, full stops, slashes or hyphens.Address in Equatorial GuineaMaximum 180 characters; do not use < or >.Town or city in Equatorial GuineaMaximum 180 characters; do not use < or >.Phone / emailEnter a valid phone number or email address.

Applicant’s or responsible person’s signature

Sign with my name Sign by hand after printing

Signatory’s full name *

Enter your name and confirm the declaration. You may also draw your signature with a mouse or finger.

I confirm that I am the signatory and that the information provided is correct. *This typed-name signature does not include a digital certificate.

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