Suite B6, Saachi Plaza, Argwings Kodhek Road

P.O Box 20790-00202 Nairobi, Kenya

Tel: 0732-797401, 0713-129623
Website: www.ipayafrica.com

E-mail: info@ipayafrica.com

Business Entity Name:

Business Registration Number:

Physical Address:

Postal Address:

Telephone:

Email:

Details of at least 2 Director(s):

Name: Name:

Physical Address: Physical Address:

Postal Address: Postal Address:

Telephone and Email: Telephone and Email:

Bank Name:

Bank A/c Name:

Bank A/c Number:

Branch Name:

SWIFT Code (if a foreign Bank):

Your Assigned iPay Vendor ID (to be assigned by iPay):

Kindly provide the following attachments:

 A copy of business registration certificate
 A copy of the National ID / Passport of the director(s) / business owner(s)