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Business Information

Business Name *

Business Email Address *

Business Phone Number *

County *

Business Physical Address *

Postal Address

Postal Code

Business Classification & Licenses

Business Type *

Business/Company Incorporation Number *

KRA PIN *

PPB Facility Registration Number *

PPB License Number *

KRA Certificate (PDF/Image) * Max file size: 5MB. Allowed formats: PDF, JPG, JPEG, PNG

Business/Incorporation Certificate (PDF/Image) * Max file size: 5MB. Allowed formats: PDF, JPG, JPEG, PNG

PPB License Certificate (PDF/Image) * Max file size: 5MB. Allowed formats: PDF, JPG, JPEG, PNG

IOUX Registration

Would you like your organisation to also be registered on IOUX, Uzima Exchange's trade receivables financing platform?

Yes, register my organisation on IOUX

By selecting this option, your organisation's registration information may be shared with IOUX for the purpose of onboarding your organisation on the platform. Learn more about IOUX

User Account Details

First Name *

Middle Name

Last Name *

Email Address *

Phone Number *

Gender *

National ID Number *

National ID Card (PDF/Image) * Max file size: 5MB

Agent Code

Medical Practitioner Information

PPB Practitioner License Number *

PPB Practitioner Certificate (PDF/Image) * Max file size: 5MB

Password *

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One uppercase letter
One lowercase letter
One number
One special character

Confirm Password *

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