Efazone Blue Card Membership Registration
Name
First Name
Last Name
Mobile Number or WhatsApp
Email
example@example.com
Gender
Male
Female
Date
-
Month
-
Day
Year
Date
Date of Birth
-
Month
-
Day
Year
Date
Address
Investment Amount
Area of Collaboration
Business Consulting
Marketing
Agricultural Development
Education
Trading
Construction
Tourism
Other
Investment Status
Please Select
Paid
To be Pay
Submit
Should be Empty: