Refrence Code: RC013552 Please enable JavaScript in your browser to complete this form.Registration Country *What country in the world are you registering from?Organization Type *Sole Proprietorship Partnership Cooperation Societies/NGO Religious Organizations Choose the type of organization from the provided options Name of Organisation *Name of the organization as used in BrandingIndustry *Industry or industries organization operates in.Description of Organization *Brief description of activities the organization is involved in to generate fundsWebsite / URL *Official organization website URLUpload Certificate of Incorporation * Click or drag a file to this area to upload. Attach Government-issued Certificate of RegistrationUpload Business Permit or Tax Compliance * Click or drag a file to this area to upload. Attach Government-issued License(s)Physical Location of The Business *Address Line 1Address Line 2CityState / Province / RegionPostal CodeKenyaAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone Number *Official organisation phone numberMobile Number Official organisation mobile numberEmail *Official organization email address 1st Directors Name *Director name as is in National ID CardUpload Front & Rear Side of ID * Click or drag files to this area to upload. You can upload up to 10 files. Image of the front & rear side of National ID cardUpload 1st Director Tax Identification document * Click or drag files to this area to upload. You can upload up to 10 files. Image of the 1st Tax Identification document e.g. KRA pin for Kenyans2nd Directors Name Director name as is in National ID CardUpload Front & Rear Side of ID Click or drag files to this area to upload. You can upload up to 10 files. Image of the front & rear side of National ID cardUpload 2nd Director Tax Identification document Click or drag files to this area to upload. You can upload up to 10 files. Image of the 2nd Tax Identification document e.g. KRA pin for KenyansMerchant Pay Mode *EFT; Electronic Funds Transfer RTGS; Real Time Gross SettlementMPesaAirtel MoneyDesired remittance mechanism from provided optionsRemittance Frequency *DailyWeekly Bi-WeeklyMonthly How often merchant account will be debitedRemittance release level *Amount when reached merchant remittance account to be debited depending on the frequencyAccount Currency *Kenya Shillings Tanzania ShillingsUSDThe currency merchant account will be transacting inBank Locality *LocalForeign Is the bank local or overseasName of Bank *Merchant's bankBank Branch *Merchant's bank branchAccount Name *Merchant's bank nameAccount Number *Merchant's bank number Bank Account Currency *Kenya Shillings Tanzania ShillingsUSDCurrency the specified merchant bank account uses to transactIBAN/SWIFT Code *Optional merchant's bank Swift or IBAN codePhoneSubmit
