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EBIS

GROUP TABLE BANKING SOLUTION
This form should be completed in full. Use BLOCK LETTERS
(For Group Leaders Only)
(All areas marked '*' must be filled)

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Registration Form

Group Information

Please provide a valid group name.
Tell us about your group
Admin Information

Please provide your first name.
Please provide your last name.
Please provide a valid email address.
Please provide a valid phone number. starts with 254...
Location Information

Please select a county.
Please select a constituency.
Please select the Ward.
Enter OTP

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