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Register Receiver
APPLY TO RECEIVE TIPS HERE
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First Name (as per ID/Passport)
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Last Name (as per ID/Passport)
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ID / Passport Number
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ID / Passport Upload
Clear and Visible Only
Only clear copies accepted!
Multi-line address
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Country/Region
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Address
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City
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Zip / Postal code
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Proof of Address
Proof Of Address / Affidavit from SAPS
Affidavit for proof of address to be stamped by SAPS
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Email
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Phone
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Position
Choose one
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Signature
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