Update Details

Please complete the form below to update your Winners Circle details.

Winners Circle Number

Title

First name

Surname

Preferred name

Type of ID

ID number

Date of birth

Occupation

Are you a foreign or local political exposed person?

Yes

Are you a close associate or a famliy member of a foreign or local political exposed person?

Yes

Please select which casino is nearest to you

Source of funds

Residential address

Code

Postal address

Code

Contact number (Home)

Contact number (Work)

Cellphone number

Fax number

Preferred Contact Number

Home Number

Work Number

Cellphone Number

Email Address

*Additional information may be required from the applicant in terms of legislation. By signing you hereby confirm that you are older than 18 and agree to the terms and conditions at www.peermont.com You hereby authorise the Company , its subsidiaries, affiliates and any authorised third party of the Company to use, review and process any personal information provided to the Company in the course of your relationship with the Company. You understand your right to privacy and the right to have your personal information processed in accordance with the conditions for the lawful processing of personal information and hereby give your consent to the Company, subsidiaries and affiliates to collect, process and distribute relevant personal information where the Company is legally required to do so.

Update Your Details