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01
Personal Info
02
Address Info
03
Create Password
First Name
*
Last Name
*
Gender
*
Select Gender
Male
Female
Marital Status
*
Select Marital Status
Married
Single
Document of Identification
*
Document of Identification
National ID
Passport
Driving License
Voter ID
Document Number
*
Upload Document
*
Resident Type
*
Select Resident Type
Residential
Non-Residential
Foreign National
Date of Birth (dd/mm/yyyy)
*
Country
*
Select Country
Botswana
Kenya
Liberia
Nigeria
Sierra Leone
Tanzania
Uganda
What's your occupation?
How much is your yearly income?
Select Income Class
Below 50,000
50,001 - 250,000
250,001 - 500,000
500,001 - less than 1 million
1 million - Less than 5 million
5million - Less than 10million
Above 20 million
Not Specified
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City
*
State of Residence
*
Postal Code
*
Phone Number
*
Email Address
*
Permanent Address
*
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Password
*
Confirm Password
*
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