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New Account

Create a new user account to file applications


Create New Operator Account

Please fill in the entire form to proceed with creating your account.

Information Input field Description
Name of Organization Company Name
Username Username for user to login
Representative National ID/Passport number
Please enter the ID number provided on your ID or Passport
Representative First Name Your given name
Representative Middle name Optional
Representative Surname Your family name
Phone Number  
Email Address
Gender  
Date of Birth
Nationality  
Streetname / House number For example: Jambo drive 115
P.O Box For example: P.O Box 2169
City/Town
Province
Country  

 


Complete Submission

If you have completed all fields please press the button below to submit.