Internet Banking Registration Form(Individuals)
Branch*
First Name*
Middle Name*
Last Name*
Customer Number*
Nationality I.D. Number*
Contact Details
Telephone(Home)*
Telephone(Office)*
Telephone(Mobile)*
P.O. Box No.*
Address*
E-mail*
Incorrect email address
Preferred username(6 to 10 characters)
1st Choice*
2nd Choice*
3rd Choice*
I would like to collect my Username and Password via the following channel**
Branch
* Required fields
Kindly print the form before submitting for future refernce.
**Note:
Kindly fill the application form in english.
Kindly sign the original application form upon receiving your Username and Password.
Your service will be activated within a period of 2 working days. You will be asked to change your password upon first login.
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