Please see errors below.
Registering your account, Please be patient.....
|
ONLINE REGISTRATION
|
|
|
|
NB! PLEASE READ:
It is important that you take care when entering this
information, it will be used in accordance with the National
Credit Act (NCA)
|
MINIMUM BUSINESS REQUIREMENT TO ACCESS CREDIT REPORTS (as
prescribed in the National
Credit Act)
- Registered Business
- Valid South African ID number
- Landline Number linked to business
- Email address linked to Company (Gmail, Yahoo,
Hotmail etc.. not accepted)
|
|
NB!
An account can still be opened online but no access to
credit checks will be allowed if the above vetted
information is not supplied.
|
|
YOUR PERSONAL DETAILS:
|
ALL FIELDS ARE COMPULSORY
|
|
ALL FIRST NAMES -Exactly as in ID Book
|
|
IMPORTANT
NOTE:
Enter your First name(s) & Surname exactly as it appears in
your ID Book, multiple names needs to be separated from each
other with a space.
|
|
LASTAME -Exactly as in ID Book
|
|
|
ID NUMBER (No Spaces)
|
|
NB!
This
information will be used to verify your identity and cannot be
changed at a later stage.
|
|
EMAIL ADDRESS
|
|
|
RETYPE EMAIL ADDRESS
|
|
|
MOBILE PHONE NUMBER (No spaces)
|
|
NB!
Valid Mobile number required, your One Time
Password (OTP) will be sent to this Cell number.
|
|
ALTERNATIVE PHONE NUMBER (No spaces)
|
|
|
|
ONLINE REGISTRATION
|
|
|
|
BUSINESS DETAIL:
|
|
|
|
BUSINESS ENTITY TYPE
|
|
|
BUSINESS CATAGORY
|
|
|
PRACTICE No.
|
|
|
REGISTERED NAME OF BUSINESS
(Sole Proprietor
enter your Name and Surname)
|
|
IMPORTANT NOTE:
Please enter your VALID Business Name and Registration
Number, this will be verified.
|
|
BUSINESS REGISTRATION No.
|
|
|
YOUR ID NUMBER
|
|
|
YOUR POSITION IN THE COMPANY
|
|
|
IN BUSINESS SINCE.
(yyyy-mm-dd)
|
|
|
BUSINESS VAT No.
|
|
|
BUSINESS PHONE NUMBER
|
|
NB!
Please enter the main SWITCHBOARD number of the
Registered Business.
|
|
BUSINESS ADDRESS
|
|
|
|
|
NB!
Please enter your legal registered domicilium
citandi et executandi Business address
|
|
|
|
|
|
|
|
|
|
| |
|
|
|
WRITTEN CERTIFICATION IN RESPECT OF THE
NATIONAL CREDIT ACT 34 OF 2005
|
|
|
|
PLEASE PROVIDE A BRIEF
DESCRIPTION OF THE COMPANY 'BUSINESS AND OR THE DIVISION OF
THE BUSINESS THAT IS HEREBY APPLYING FOR CREDIT BUREAU
SERVICES'
|
|
|
|
|
MAIN BUSINESS ACTIVITIES:
I
HEREBY CONFIRM FULL COMPLIANCE WITH ALL MATERIAL ASPECTS OF
THE NATIONAL CREDIT ACT 34 OF 2005, IN SO FAR AS IT IS
RELEVANT TO THE COMPANY'S, WHICH INCLUDES PBVERIFY AND PBSA,
ACTIVITIES AND WARRANT THAT THE INFORMATION PROVIDED HEREIN
IS BOTH TRUE AND CORRECT. I ALSO HEREBY CONFIRM THAT I HAVE
READ AND ACCEPT THE TERMS AND CONDITIONS OF USE.
|
|
|
ONLINE REGISTRATION
|
|
|
|
BUSINESS PROFILE
|
|
|
|
HOW MANY BRANCHES DO YOU HAVE
|
|
|
|
HOW MANY USERS FOR THIS SYSTEM
|
|
|
|
DO YOU HAVE BROADBAND INTERNET
|
|
|
|
PLEASE CLASSIFY YOUR BUSINESS
|
|
|
|
RECEIVE THE PBVERIFY NEWSLETTER?
|
|
|
|
RECEIVE PBVERIFY PRODUCT UPDATES?
|
|
|
|
RECEIVE PBVERIFY TECHNICAL UPDATES?
|
|
|
|
PREFERRED CONTACT MEDIUM
|
|
|
|
WHERE DID YOU HEAR ABOUT PBVERIFY
|
|
|
|
DO YOU HAVE ENOUGH INFO ON PBVERIFY
|
|
|
PLEASE RATE THIS WEBSITE
|
|
|
|
SUBSCRIBE TO OUR NOTIFICATION SYSTEM?
|
|
IMPORTANT
NOTE:
Subscriber notification information that will be received:
• Important regulatory updates
• Technical system updates
• System changes and updates
• New product launches
• Industry news and updates
|
|
ONLINE REGISTRATION
|
|
|
FORM SUBMISSION - THANK YOU
|
|
|
|
PLEASE TICK INSIDE BOX
|
|
|
