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PEGPAY SIGNUP FORM
Customer Details
School Name
Physical Address
Contact Person
Telephone
Email Address
UNEB N
o
Type of School
KINDERGARTEN
PRIMARY
SECONDARY
INTERNATIONAL
TERTIARY
UNIVERSITY
School Category
DAY
BOARDING
EVENING
SINGLE
MIXED
Customer Collection Accounts
Bank Name
Stanbic Bank
Absa
Kenya Commercial Bank
DFCU Bank
Post Bank Uganda
Account Number
Bank Name
Stanbic Bank
Absa
Kenya Commercial Bank
DFCU Bank
Post Bank Uganda
Account Number
Bank Name
Stanbic Bank
Absa
Kenya Commercial Bank
DFCU Bank
Post Bank Uganda
Account Number
Designated School Administrator(s)
Name
Email
Telephone
Name
Email
Telephone
Name
Email
Telephone
Authorised Signitory(s)
Name
Email
Telephone
Name
Email
Telephone
Name
Email
Telephone
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