etransactions

To become an e-Transactions agent complete the form below , stating your business along with your area of interest and sometimes will be in touch with you as soon as possible

First Name*

Date of Birth*

Region of Origin*

Last Name*

Mobile No*

District*

Residential Address

Company Name and Address*

Occupation

E-Mail Address*

Identification Type*

Licence Passport Voter's ID National ID Health Insurance

ID Number*

Next of Kin

Relationship

Telephone

Device Requires

POS Terminal Phone Corporate Portal Individual PORTAL

Refrence 1

Address

Relationship

Telephone

Refrence 2

Address

Relationship

Telephone

Enter the code here*

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