Basic Registration

(*) Mandatory Fields

First Name *
Family Name *
Are you entitled to represent your employer and register on this site
on behalf of your employer ?

Gender *

Position in business / Title *
Full name of financial institution *
Full name of CEO / Managing Director *
Complete business address *
Country *
Complete postal address *
Telephone *
Fax *
Business e-mail address *
Username *
Password *
Confirm Password *
Declaration : I declare to register my employer, a registered financial institution in Africa, on this website in my capacity as a true representative of my institution. I am cognizant that the details provided will be reviewed and verified before I can proceed with a further application. *