Information Required for Partner Registration To be completed by Duly Authorised Management. Already a customer?(Required) No Yes Please login to continue.This field is hidden when viewing the formForm DetailsWhat type of organisation are you?(Required) IT Company / MSP FSP in SA Other FSP Number(Required)Please describe your organisationUser's Name(Required) First Last Email Address(Required) Confirm Email Address(Required)Create your own Password(Required) Enter Password Confirm Password Strength indicator Company Name(Required)Trading NameBranch / Team NameCompany Registration Number(Required)Are you VAT Registered?(Required) Yes No VAT Registration Number(Required)Address(Required) Street Address Address Line 2 City State / Province / Region Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Main Telephone(Required)Details For Commission PaymentsCommission Structure(Required) Group A - Earn full commission Group B - Earn half commission and allocate half as a discount to members / customers Group C - Earn no commission and allocate the full discount to members / customers Same as User's Same as User's Email (notification for commission payments)(Required) First Name, Last Name (for notification for commission payments)(Required) First Last Bank Name(Required)Choose BankAbsa BankAfrican BankAl Baraka BankBank of AthensBank ZeroBarclays BankBidvest BankCapitec BankDiscovery BankFirstRand BankFirst National Bank (FNB)Grindrod Bank (GRDB)HBZ BankHSBC BankInvestec Bank LtdMercantile BankNedbankOld Mutual BankRand Merchant Bank (RMB)RMB Private BankSA Post Bank (Post Office)Sasfin BankStandard BankStandard Chartered BankTyme BankUbank LtdWizzit BankOtherUniversal Branch Code(Required)Other BankAccount Type(Required) Current/Cheque Account Savings Account Transmission Account Bank Account Number(Required)Account Name(Required)Bank Account Confirmation(Required)Max. file size: 8 MB.Upload Bank Account Confirmation Letter (not older than 3 months)I have read and agree to the terms of the Partner Agreement available here.I have read and agree to the terms of the Partner Agreement available here.(Required) I agree. PhoneThis field is for validation purposes and should be left unchanged.
