Online QR Merchant Acquisition Form

Easy and convenient payment option for your customers Apply for your desired
services and make transactions simple

Individual Business

Request For *

Discount *

Name of Business Firm *

Registered with *

PAN/VAT Number of the Company*

Do you have account at KAMANA SEWA BIKASH BANK Ltd? *
Yes No

Account Number*

Address *

Name of Authorized Person of the Company *

Contact Number of the Authorized Person*

Name of Contact Person of the Company*

Referred By*

Contact Number(Referrer)*

Preferred Branch *

Mobile Payment *
Fone pay WeChat - Union Pay

Upload Documents *

File Upload Instruction *

Upload Document as follows:

I have read, understood and agree to the terms and condition( Terms And Conditions).