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YOUR COMPANY INFORMATION

Company Registration Number:

VAT Registration Number:

Company Trading Name:

Country Regulatory Body Registration Number:

(This is your membership registration number for your country's industry regulator. For example: South Africa = NCR (National Credit Regulator) Registration Number. Namibia = NAMFISA Registration Number. Botswana = NBFIRA (Non-Bank Financial Institutions Regulatory Authority) Registration Number, etc.)

THE OWNER INFORMATION

Owner Title:

Mr.
Mrs.
Miss
Ms.

Name

First

Last

The OWNER ID Number

Owner Phone

Owner WhatsApp Number

Owner Email Address:

COMPANY PHYSICAL Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

YOUR BRANCH INFORMATION

Branch Name

Branch Contact Person: Name

First

Last

Branch Contact Person: Mobile Number

Branch Telephone Number

Branch Email Address:

Branch Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

YOUR USER INFORMATION

User Name and Surname

First

Last

USER ID Number

User ID TYPE:

For eg. RSA ID, RSA Passport, Namibia ID, Namibia Passport, etc

User Email

User Mobile Number:

TRAINING

MAXMONEY Service includes a once-off training session online consisting of the following:

* Consultant Training: 2 hours.

* Management Training: 2 hours.

* Ledger Setup (Accounting Module) Training: 1 hour.

* Integration Training: 1.5 hours per branch.

This includes Help File use, Electronic Training Pockets, video self-study training and Google Meet Training at no additional cost to you.

Training time does not accumulate for additional branches.

(Please tick the box below)

Email Registration ID

I AGREE

I have read, understand and agree to the terms of training.

Preferred means of Communication

TERMS OF SERVICE

I understand that, by submitting this application, the company agrees to the terms and conditions set out in the Mycomax/MAXMONEY TERMS OF SERVICE & SERVICE LEVEL AGREEMENT and enters into a contractual relationship with Mycomax. I understand that, by completing and submitting this application, I warrant that I am duly authorised to complete this application and agree to the aforementioned terms between the company and Mycomax/MAXMONEY. TERMS OF SERVICE & SERVICE LEVEL AGREEMENT.

(PLEASE TICK THE BOX BELOW)

I understand, and agree to these terms

I agree

Please UPLOAD your Accepted Quotation HERE.

Drag & Drop Files, Choose Files to Upload

Please upload one of the following extensions: doc, docx, jpeg, jpg, pdf, png. PLEASE NOTE: The initial ONBOARDING FEE is MANDATORY and NON-REFUNDABLE.

POPI

MYCOMAX would like to welcome you to its website.

By viewing this website you hereby acknowledge that you have read and accepted the following Protection of Personal Information (POPI) disclaimer.

You understand and agree that all information provided, whether personal or otherwise, may be used and processed by the “owner” of this website, and such use may include placing such information in the public domain.

Further, by continuing to access this website you specifically agree that the Company will use such information provided by you, irrespective of the nature of such information.

MYCOMAX shall take all reasonable measures to protect the personal information of users and for the purpose of this disclaimer “personal information” shall be defined as detailed in the Promotion of Access to Information Act, Act 2 of 2000 (“PAIA”) and the Protection of Personal Information Act, Act 4 of 2013 (“POPI”).

The PAIA and POPI Acts are available online at www.gov.za/documents/acts.

As per the POPI Act personal information refers to information that identifies or relates specifically to you as a person or data subject, for example, your name, age, gender, identity number and your email address. A definition of personal information can be found in the MYCOMAX’s POPI policy. https://www.mycomax.com/wp-content/uploads/Mycomax-PAIA-Manual-English-20210927.pdf

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