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Send Request to Open an Agent/ Merchant Account
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Send Request to Open an Agent/ Merchant Account
Please complete and submit the form below to send your request to open an Account.
Agent
Merchant
Contact Person
*
Photo ID Number (National ID or Smart ID/Passport/Driving License)
*
Trade License Number
*
Contact Number
*
Business/Institute Name
*
Business/Institute Address
*
Email Address
*
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question
*
17 + 3 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Name of the Business/Institute
*
Website URL (if any)
Office Address (Physical Address required)
*
Business/Institute Type
*
Business/Shop Location
*
Payment Received Per Month (Appox.)
*
Contact Person
*
Contact Number
*
Photo ID Number (National ID or Smart ID/Passport/Driving License)
*
Trade License Number
*
Email Address
*
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Math question
*
5 + 5 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
