STEP 1 - 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)
o Registered Business
o Valid South African ID number
o Landline Number linked to business
o Email address linked to Company (No Gmail, Yahoo, Hotmail etc. 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
   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.

NB!  This information will be used to verify your identity and cannot be changed at a later stage.
ALL NAMES -Exactly as in ID Book
SURNAME -Exactly as in ID Book
YOUR ID NUMBER (No Spaces)
YOUR POSITION IN THE COMPANY
DO YOU HAVE ENOUGH INFO ON PBVERIFY
BUSINESS DETAIL
   NB! Valid E-mail required, Registration and Login information will be sent to this E-mail.
YOUR EMAIL ADDRESS
RETYPE EMAIL ADDRESS
YOUR CELL PHONE NUMBER (No spaces)
   NB! Valid Mobile number required, your One Time Password (OTP) will be sent to this Cell number.
BUSINESS REGISTRATION No.
(If no business registration number provided, please note this could affect your access to certain Credit Bureau Reports)
IN BUSINESS SINCE.
(yyyy-mm-dd)
BUSINESS VAT No.
BUSINESS PHONE NUMBER
   NB! Please enter the main SWITCHBOARD number of the Registered Business.
BUSINESS FAX NUMBER
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.

NB!  Please enter your legal registered domicilium citandi et executandi Business address
BUSINESS TRADING NAME
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 IN ALL MATERIAL RESPECTS WITH THE NATIONAL CREDIT ACT 34 OF 2005, IN SO FAR AS IT IS RELEVANT TO THE COMPANY'S ACTIVITIES AND WARRANT THAT THE INFORMATION PROVIDED HEREIN IS TRUE AND CORRECT.
APPLICATION INFORMATION
HOW MANY BRANCHES DO YOU HAVE
HOW MANY USERS FOR THIS SYSTEM
DO YOU HAVE BROADBAND INTERNET
PLEASE CLASIFY YOUR BUSINESS
PREFERRED CONTACT MEDIUM
WHERE DID YOU HEAR ABOUT PBVERIFY
PLEASE RATE THIS WEBSITE
FORM SUBMISSION - THANK YOU
ANTI-SPAM SECURITY CODE
REPEAT SECURITY CODE EXACTLY