Detail Verification Request Form

Personal Details

First Name *

Last Name *

Gender * -- select one -- Male Female Other

Date Of Birth *

Contact Phone Number *

Contact Email *

Mobile Money Number *

Mobile Money Network * MTN Airtel Tigo Vodafone

Place of Residence *

Nationality * -- select one -- Ghanaian Afghan Albanian Algerian American Andorran Angolan Antiguans Argentinean Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Barbudans Batswana Belarusian Belgian Belizean Beninese Bhutanese Bolivian Bosnian Brazilian British Bruneian Bulgarian Burkinabe Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Central African Chadian Chilean Chinese Colombian Comoran Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Djibouti Dominican Dutch East Timorese Ecuadorean Egyptian Emirian Equatorial Guinean Eritrean Estonian Ethiopian Fijian Filipino Finnish French Gabonese Gambian Georgian German Greek Grenadian Guatemalan Guinea-Bissauan Guinean Guyanese Haitian Herzegovinian Honduran Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakhstani Kenyan Kittian and Nevisian Kuwaiti Kyrgyz Laotian Latvian Lebanese Liberian Libyan Liechtensteiner Lithuanian Luxembourger Macedonian Malagasy Malawian Malaysian Maldivan Malian Maltese Marshallese Mauritanian Mauritian Mexican Micronesian Moldovan Monacan Mongolian Moroccan Mosotho Motswana Mozambican Namibian Nauruan Nepalese New Zealander Ni-Vanuatu Nicaraguan Nigerien North Korean Northern Irish Norwegian Omani Pakistani Palauan Panamanian Papua New Guinean Paraguayan Peruvian Polish Portuguese Qatari Romanian Russian Rwandan Saint Lucian Salvadoran Samoan San Marinese Sao Tomean Saudi Scottish Senegalese Serbian Seychellois Sierra Leonean Singaporean Slovakian Slovenian Solomon Islander Somali South African South Korean Spanish Sri Lankan Sudanese Surinamer Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian or Tobagonian Tunisian Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Welsh Yemenite Zambian Zimbabwean

Occupation *

Details of Employment (If Applicable)

Social Media Details

(These are not mandatory, but would help speed up your verification process if supplied)

Facebook Name (If Applicable)

Twitter Name (If Applicable)

Instagram Name (If Applicable)

ID Verification

Type Of Valid Government Issued ID *

Provide a recent photo of you holding your ID. Both your face and the ID should be clearly visible and any text, numbers or photos on the ID must be readable and not be covered by your fingers or by the piece of paper.

Use Of Receive Feature

Please State Your Intended Use Of The Receive Money Feature, in Not More Than 500 Characters *

Service Use

Please tell us how you intend on using the Mazzuma service. WordPress Plugin API in a mobile application API in a website/web application

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You Agree To The Terms and Conditions For Use of This Product.