Beneficiary Processing Form

Xpressway

CONTACT US VIA MAIL

SUPPORT@EXPRESSCOURIERWAY.COM

BENEFICIARY PROCESSING FORM

Full Name: Sex: Age: Nationality: Telephone Number: Fax Number: Residence Address: Passport/Identification (Upload ID): Occupation: Consignment Security Code: Date of Deposit: Value of the Consignment:

Note: An applicant is required to fill and submit back the application form with a processing fee of $780 USD only.

I confirm that the information provided is correct and I agree to the processing terms.