Client registration

Complete every required field. Your registration is reviewed and approved before your Client ID is issued.

Personal details

Title

Identity document

NRC number Type the digits only — the slashes are added for you (123456/78/1).

First name

Middle name

Last name

Date of birth Must be 2009 or earlier.

Gender

Marital status

Nationality

Contact details

Phone

Province

District

Residential address

Postal address

Institution and occupation

Institution

Student / staff number

Occupation

Employer / faculty

Next of kin

Full name

Relationship

Phone

Portal password

Password

At least 8 characters.

Confirm password

Fields marked * are required.

Registration received