Caribbean Cre dit Bureau Ltd.
" Increasing the Profit
ability of Credit "
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Inquiry Form


Country   Nat. ID#*   Name* Surname*   Cell Phone
Street Address City/Town/Region   Parish/Dist.*  P.O. Box   Home Phone*
Previous: Street Address* City/Town/Region Parish/Dist.* P.O. Box   Work Phone
Email*   Employer* Occupation   Previous Employer

For Subscriber Use ONLY - Reference Numbers



Please make sure that you understand and accept the following terms and conditions:
I Request that you disclose to me the information contained in my Credit Bureau file and would like details of the records identified by the reference number(s) listed above. I agree to indemnify Caribbean Credit Bureau Ltd. and the reporting subscriber(s) against and save you, the aforementioned companies and the reporting subscriber(s), from any damages or otherwise arising from the requested disclosure.

Consumer:* Witness:*

I agree to have promotional messages sent to my email from CCBL"