Provider Registration

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COMPANY DETAILS

Name of Company

Postal Address

Physical Address

Tax Identification Number (TIN)

TIN Verification

One file only.
2 GB limit.
Allowed types: jpg pdf.
50 MB limit per form.

Certificate of Registration Number

Registration Number Verification

One file only.
2 GB limit.
Allowed types: jpg pdf.
50 MB limit per form.

Your Email Address

Tel/Cell Phone Numbers

Contact Persons (Max 3)

Names of Shareholders

Shareholder Verification

One file only.
2 GB limit.
Allowed types: pdf.
50 MB limit per form.

Names of Beneficial Owners

Bank Account details for the business (provide details for the bank account through which your business gets payment from Government

Name of Bank

Name of Branch

Account Name

Account Number

Account Type

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