GCASH 104 (USSD)

Acknowledgment Receipt / Outlet detail update

Territory Mgr's Name:

Region: Area Coverage: Date:

Outlet picture already emailed?
yes no

Outlet Name

Outlet Address

GCashregistered Mobile No.

Services offered Contact Person

Owner Autho Rep

Training conducted
GCash 104

Contact Nos.

Merch / Material presence

New StickGCash Tarp handout form out

Signature over printed name

Terms & Conditions signed?

CI CO

Doremi Int'l

Billpay

KYC

yes

no