Business Payment Services Onboarding

Client name

Client email address

Contact number

Registered company name

Trading name

Registration number

Which industry / sector do you operate in?

Brief description of business (products/services)

Regulated industry (e.g., FSCA, NCR) / Non-regulated

How long has your business been operational?

Which payment services are you interested in? (Select all that apply)

Debit order collections (EFT Debits)

DebiCheck (Authenticated Debit Orders)

Salary & creditor payments (EFT Credits)

Account verification service (AVS)

Registered mandates (RM)

Do you currently process debit orders?

Yes

No

Name of current sponsored bank (if applicable)

Are you integrated with any TPPP/SO?

Yes

No

Do you have existing collections/payment processing history?

Yes

No

Attach 3–6 months stats (submitted, returned, billing) Attach 3–6 months stats (submitted, returned, billing)

Attach last 6 months business bank statements Attach last 6 months business bank statements

Do you sell third-party products/services?

Yes

No

Attach underwriter details and service level agreement Attach underwriter details and service level agreement

How many EFT debits and DebiCheck collections do you process monthly?

How many payments(EFT credits) do you process monthly?

What is your average transaction value per collection?

What is your highest single transaction amount?

What is the total value of collections processed per month?

What is your current unpaid/return percentage?

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