Add New Client
Complete the form below to register a new client
Client ID: BMIF42E2
1
Client Details
2
Contact
3
Banking
4
Package
5
Submit
Client Details
Client Type
*
Individual
Company / Business
Choose whether you are registering a person or a business.
First Name
*
Surname
*
Gender
*
Select Gender
Male
Female
Birth Date
*
Client must be 18 years or older.
National ID
*
Preferred Language
*
IsiZulu
English
Sepedi
Sesotho
Swati
Tsonga
Setswana
Venda
Xhosa
Ndebele
Afrikaans
Company Name
*
Company Registration Number
*
Company Representative
*
Company Phone Number
*
Preferred Language
*
English
IsiZulu
Sepedi
Sesotho
Swati
Tsonga
Setswana
Venda
Xhosa
Ndebele
Afrikaans
Reset Section
Next
Contact Information
Phone Number
*
Email Address
Address
*
City / Town
Previous
Reset Section
Next
Banking Details
Bank Name
*
Select Bank
Absa Group Limited
African Bank Limited
Bidvest Bank Limited
Capitec Bank Limited
Discovery Bank
First National Bank
FirstRand Bank
Grindrod Bank Limited
Investec Bank Limited
Nedbank Limited
Sasfin Bank Limited
Standard Bank of South Africa
Ubank Limited
TymeBank
Account Holder
*
Account Type
*
Select Account Type
Cheque
Savings
Current
Transmission
Account Number
*
Branch Code
*
Debit Date
*
Enter a day between 1 and 31.
Previous
Reset Section
Next
Package
Select Package
*
Select Package
SILVER LADY JUSTICE - R100 pm
GOLD LADY JUSTICE - R199 pm
PREMIUM LADY JUSTICE - R300 pm
SMNE GOLD - R300 pm
SMNE GOLD - R650 pm
This amount will be used as the debit amount.
Previous
Next
Review & Submit
Client Details
Contact Information
Banking Details
Package
I confirm that the information provided is accurate and complete.
Previous
Clear All
Submit Client Registration