Customer Registration

Personal Details

Name (required)

Address (Residential) (required)

Phone (required)

Email Address (required)

NIC/LD Passport No (required)

Employee Details

Name of Employer (required)

Job Title (required)

Address (required)

Contact Number (Office) (required)

Introducer

Name (required)

Relationship to User (required)

Mobile No (required)

Your Email (required)

Copy Of National Identity Card (NIC)(required)

Copy Of Driving License(required)

Copy Of Address Proof(required)

Business Card/Visiting Card(required)

Please upload only pdf,doc,docx,jpeg,jpg,png

Company Details

Company Name (required)

Address (required)

Phone (required)

Email Address (required)

BR/Form 20 Number (required)

Contact Person in Business

Your Name (required)

Job Title (required)

Address / Resident (required)

Mobile Number (required)

Email Address (required)

Billing Details

Billing Address (required)

VAT Number (required)

Introducer

Name (required)

Address (required)

Phone No (required)

Relationship (required)

Copy of Business Registration (required)

Copy of Form 20 (required)

Copy of VAT Registration (required)

Address Proof (required)

Correspondence of from the Corporate Customer (required)

Vehicle user driving license (required)

Vehicle user NIC (required)

Please upload only pdf,doc,docx,jpg,jpeg,png