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Customer Application Form

PREMIUM RENEWED PHONES. QUALITY YOU CAN TRUST

If purchasing on loan we will require:
- 12 months full MPESA statement.
- Name, ID # and MPESA number for yourself.
- Photo of ID and selfie with ID.
- KRA PIN may be required.

Consent Section

Before submitting, please read and agree to the following:
- I consent to Mophones collecting and processing my personal information, including my ID, MPESA statements, and other required details, for the purpose of assessing my creditworthiness.
agent id is required to submit this form