Institutional

Identification Type
—Please choose an option—Business LicenseRegistration CertificateTax IDOther

Name of Institution *

Copy of Registration/Incorporation

Date of Incorporation *

Country of Registration/Incorporation *

Do you have Tax Exemption?
Yes

Tax Exemption Expiry Date

Certificate of Incorporation Registration No. *

KRA PIN

Physical Address *

Postal Code *

Telephone *

KRA PIN Certificate

Tax Exemption Certificate

Full Name *

Email *

Upload List Of Directors/Officials

Participating Agent Name

Bank Name *

Branch *