ANS Account Creation Request

ANS Account Creation Request

ANS Account Request

Entry Date*
Job Position*
Job Position Category*
Division*
Name*
First Middle Last Suffix
Date of Birth*
Sex*
- Male
- Female
Country of Birth*
ID Type*
- Passport
- National ID (Cedula)
- Nicaraguan Residency
ID Number*
INSS
Contact Information
Personal Email Address*
Phone Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country