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Individual
Business Name
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Company / Business Registration Number
TIN/VAT Registration Number
Business Address
Plot Number
Street
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Postal Address
Email Address
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Attachments
Annual Turnover for the last 3 Years
I certify that all the above information is correct and we would like to register for the Mobile Money Service provided by mGurush in accordance with the mGurush agency Terms. We confirm that we have read and understood the mGurush Agency Terms of Use and we accept them.
Director Name
ID Number
Director Name
ID Number
Name
Address
Plot Number
Street
Town / State
Postal Address
Email Address
Telephone Number
I certify that all the above information is correct and we would like to register for the Mobile Money Service provided by mGurush in accordance with the mGurush agency Terms. We confirm that we have read and understood the mGurush Agency Terms of Use and we accept them.
ID Number