(*) denotes mandatory fields.

Part A: Personal Details
Please enter Surname
Please enter First Name(s)
Please enter Date of Birth
Please enter PIN (numbers only)
Please enter Passport Number
Please enter Country of Issue
Please enter Email Address
Please enter Country of Residence
Please enter Residential Address
Please enter valid mobile number (*)
Please enter valid telephone number
Please enter Name of next of kin
Please enter Name of next of kin
Please enter relationship
Please enter next of kin PIN
Please enter email address
Please enter Physical Address



Information for Sole Trader
Trade Name (*) Commencement Date (*) Town (*) Business Location (*) Mobile Number(*) Telephone Number
0
Please enter the Trade Name
Please enter the commencement Date.
Please enter town.
Please enter the Location
Please enter the Cell Number.
Please enter the Tellephone Number
1
Please enter the Trade Name
Please enter the commencement date
Please enter town
Please enter the location
Please enter the Cell Number
Please enter the Tellephone Number
2
Please enter the Trade Name
Please enter the commencement date
Please enter town
Please enter the location
Please enter the Cell Number
Please enter the Tellephone Number


Business Type (Please tick appropriate business types)
Agriculture
Construction
Manufacturing
Real Estate:

Wholesale & Retail:
Other Services:
Transport:
Information And Communication:
Financial & Insurance:
Public Service/Humanitarian Services:


Part B: TAX TYPES, TAX DETAILS
(Please tick where applicable)


* Turnover - Total annual sales made by the business

PART C: DETAILS OF BANK ACCOUNT
FILL in A OR B (*)

(a) The bank account must be in the name of the Applicant

(b) Other Modes of Payment (MOMO, etc)



PART D: ATTACHMENTS AND DECLARATION
Please Upload Proof of Physical location pdf, jpg, png, or docx
Please Upload National ID Document pdf, jpg, png, or docx
Please Upload Bank Statement pdf, jpg, png, or docx
Please Upload Trading licence pdf, jpg, png, or docx
Please Upload Other supporting docs pdf, jpg, png, or docx


DECLARATION BY APPLICANT

I hereby declare that the particulars given herein are true and complete and hereby apply for registration.

Please enter Full Name