Complete the

form below and Become an Agent

Download SendSpend on your phone

(Only available for Android Phone)

Application Form - Corporate Agent

(This Application Form is for Companies Only. If you are an individual, please apply by downloading the App from Google Play Store here)

*All the fields marked with an Asterix (*) are required to complete the form.

Company Details

Company Name *

Company Registration Number *

Company Registered Address *

CIPC Doc *

Upload File

Company Trading Address *

Utility/Rent Invoice *

Upload File

Company VAT Number

VAT Certificate

Upload File

Company Bank Details *

Bank Letter *

Upload File

Company Website

Company Website Number of Stores/Outlets

Other - Please, describe products

Annual Turnover *

Company Phone Number *

Company Email Address *

Contact Details

First Name *

Last Name *

Contact Cell Phone Number *

Contact Email Address *

Directors' Details

Directors’ Name *

This Director is also a Shareholder

ID/Passport

Upload File

Directors' Address *

Utility Invoice

Upload File

Directors’ Name

This Director is also a Shareholder

ID/Passport

Upload File

Directors' Address

Utility Invoice

Upload File

Directors’ Name

This Director is also a Shareholder

ID/Passport

Upload File

Directors' Address

Utility Invoice

Upload File

Shareholders’ Details >20%

Shareholders’ Name

ID/Passport

Upload File

Shareholders’ Address

Utility Invoice

Upload File

Shareholders’ Name

ID/Passport

Upload File

Shareholders’ Address

Utility Invoice

Upload File

Shareholders’ Name

ID/Passport

Upload File

Shareholders’ Address

Utility Invoice

Upload File

Other Beneficial Owners

Name

ID/Passport

Upload File

Address

Utility Invoice

Upload File

Name

ID/Passport

Upload File

Address

Utility Invoice

Upload File

I confirm that I have read and agree to the terms and conditions.

View Agent T&C

A SendSpend representative will contact you within the next 72 hours to discuss the next steps.

Agent Application Form

Complete the

form below and Become an Agent

Application Form - Corporate Agent

Company Details

Contact Details

Directors' Details

Shareholders’ Details >20%

Other Beneficial Owners

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