PSIRA Registration

Enterprise Particulars

Name of Bank

Account Number

Name of account holder

Bank code and account type

Date enterprise registered

Enterprise Registration Number

Physical Address of Enterprise

Name of contact person

Designation

Email and telephone number

Principals and ownership Interest Name and surname *

Interest and ownership Interest %

Selected Value: 5

Race and Gender

Tax Clearance Certificate Number

Date Of BBB-EE certificate obtained

Industry of operation

Website

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