Self Registration Form
Payment Instructions
Amount:
Ksh 5,000
Paybill:
4164109
Account:
REGISTRATION
Use:
Your Mpesa confirmation code to verify and continue registration.
Full Name
Phone Number
Mpesa Confirmation Code
Select Branch
-- Choose Branch --
Kajiado
Kitengela
Kisii
DIASPORA
BISIL
NGONG
MURANGA
NAIROBI
ISINYA
NYAHURURU
MILE 9
MILE 46
NAKURU
ATHI RIVER
GILGIL
MLOLONGO
UGANDA
Business
No branch
Email Address (Optional)
ID Number
Submit Application