We can't find the connection
Attempting to reconnect
Account registration
Please ensure that you fill in all required field with the mark *
Direct sales agent (DSA) information
Reference code (optional)
Personal information
Title
Please select an option
MR
MRS
MISS
DR
PROF
First name
Middle name
Last name
Gender
Please select an option
Male
Female
Date of birth
NRC/Passport number
Contact information
Email (Optional)
Mobile
Example +26095xxxxxxx, +26096xxxxxxx, +26097xxxxxxx, +26076xxxxxxx, +26077xxxxxxx, +26075xxxxxxx
Physical address
Physical address town
Please select an option
Chibombo, ZM
Chibombo District, ZM
Kabwe, ZM
Kapiri Mposhi, ZM
Mkushi, ZM
Mumbwa, ZM
Serenje, ZM
Chambishi, ZM
Chililabombwe, ZM
Chingola, ZM
Chingola District, ZM
Kalulushi, ZM
Kataba, ZM
Kitwe, ZM
Luanshya, ZM
Mpongwe, ZM
Mufulira, ZM
Ndola, ZM
Chadiza, ZM
Chipata, ZM
Lundazi, ZM
Nyimba, ZM
Petauke, ZM
Kawambwa, ZM
Mansa, ZM
Mwense, ZM
Nchelenge, ZM
Samfya, ZM
Chongwe, ZM
Kafue, ZM
Luangwa, ZM
Lusaka, ZM
Chama, ZM
Chinsali, ZM
Isoka, ZM
Mpika, ZM
Nakonde, ZM
Kaputa, ZM
Kasama, ZM
Luwingu, ZM
Mbala, ZM
Mporokoso, ZM
Mpulungu, ZM
Mungwi, ZM
Kabompo, ZM
Kalengwa, ZM
Kansanshi, ZM
Kasempa, ZM
Mufumbwe, ZM
Mwinilunga, ZM
Solwezi, ZM
Zambezi, ZM
Choma, ZM
Gwembe, ZM
Itezhi-Tezhi District, ZM
Livingstone, ZM
Maamba, ZM
Mazabuka, ZM
Monze, ZM
Nakambala, ZM
Namwala, ZM
Siavonga, ZM
Siavonga District, ZM
Sinazongwe, ZM
Kalabo, ZM
Kaoma, ZM
Limulunga, ZM
Lukulu, ZM
Mongu, ZM
Senanga, ZM
Sesheke, ZM
Revenue information
Source of revenue
Please select an option
Employment
Business
Investments
Rental_property
Freelancing
Pension
Taxi driver
Monthly net income
Next of kin information
Relationship
Please select an option
Parent
Sibling
Spouse
Friend
Names
NRC
Example XXXX/XX/XX
Mobile
Example +26095xxxxxxx, +26096xxxxxxx, +26097xxxxxxx, +26076xxxxxxx, +26077xxxxxxx, +26075xxxxxxx
Guarantor's information
Relationship
Please select an option
Parent
Sibling
Spouse
Friend
Employer HR
Colleague or workmate
Business partner
Another business owner
Business premise owner
Names
NRC/Passport number
Mobile
Example +26095xxxxxxx, +26096xxxxxxx, +26097xxxxxxx, +26076xxxxxxx, +26077xxxxxxx, +26075xxxxxxx
Supporting documents (Requires latest clear copies)
Passport size photo picture
Passport size photo or latest photo. Acceptable formates are image & pdf
NRC
Acceptable formates are image & pdf
Proof of income document
E.g, PaySlip, bank statement, referal letter by employer or business partner. Acceptable formates are image & pdf
Proof of resident
E.g, Lease agreement or utility bill. Acceptable formates are image & pdf
Acknowledgement
Did or does the customer agree and understand to our
terms & conditions?
Yes they did *
Submit