Merchant Registration

Fields marked with * are required. Please ensure all information is accurate.

Business Name *

Organization Type *

Registration ID *

Registration Proof *

PDF, JPG, JPEG, PNG, DOCX or DOC (MAX: 5MB)

Address Line 1 *

Address Line 2

Postcode *

City *

State *

Contact Person Name *

Contact Phone *

Contact Email *

Bank *

Bank Account Number *