Request for (Point of Sale) Terminal POS Merchant Sign-Up Form Business / Trading Name* Business Type* Sole TraderPartnershipLimited Liability Company (LTD)NGO / Non-profitOther Business Category Business Address* Owner / Contact Information Email Address ID Type & Number* Date of Birth Gender MaleFemale Bank & Settlement Details Bank Name* Account Name* Account Number* Account Type Current AccountSavings Account POS Request Details POS TerminalMobile POSQR MerchantVirtual Account Number of Devices Expected Daily Transactions Referral Options: How did you get to know us*? Existing CustomerBank StaffTekinniChurch/Society MemberAgent/MerchantSocial MediaFlyer/PosterFriend/FamilyEvent/SeminarOthers (please specify) Declaration: I hereby declare that the information provided above is true and correct. Δ
POS Merchant Sign-Up Form
Business / Trading Name*
Business Type* Sole TraderPartnershipLimited Liability Company (LTD)NGO / Non-profitOther
Business Category
Business Address*
Owner / Contact Information
Email Address
ID Type & Number*
Date of Birth
Gender MaleFemale
Bank & Settlement Details
Bank Name*
Account Name*
Account Number*
Account Type Current AccountSavings Account
POS Request Details
POS TerminalMobile POSQR MerchantVirtual Account
Number of Devices
Expected Daily Transactions
Referral Options: How did you get to know us*?
Existing CustomerBank StaffTekinniChurch/Society MemberAgent/MerchantSocial MediaFlyer/PosterFriend/FamilyEvent/SeminarOthers (please specify)
Declaration: I hereby declare that the information provided above is true and correct.
Δ
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