You'll take care of their pets.
We'll take care of your client.
Applicant's information
Personal information
Veterinary practice information
Banking details
If not your own bank account, please detail your relation to the account holder. E.g. Husband's/Wife/Mother.
Documentation
Upload proof of bank account (letter/statement). For example, a bank confirmation letter or bank account statement.
Declaration
I hereby declare that the above account number is correct for
settlement of referral fees payable to me for every valid
referral*. I further irrevocably undertake to not hold Dotsure
Limited liable, should I not receive any referral fees paid to
me due to providing incorrect banking details as per the
information given above.
I further declare that: I am under no obligation to render any
services to Dotsure Limited; I am not the effÂective cause of
the sale of any insurance product that involve Dotsure Limited;
I am not employed by Dotsure Limited, nor do I work from its
premises; any remuneration received from Dotsure Limited is not
my main source of income; and I am aware that I am responsible
to declare this income for income tax purposes.