Registration Form

Organisation Details

Organisation Name *

Registration Number *

Copy of SSM or ROS Certificate *

Website

Email *

Office Number

Address Line 1 *

Address Line 2

Country *

State *

City *

Postcode *

We will be contacting this person for any inquiry related with Beri Salam account, registration & support.

Person in Charge (PIC) *

Copy of Identification Card (IC) *

Mobile Number

Bank details below will be used for Bayarcash payment gateway registration.

Bank Account Number

Bank Name

Bank Holder

Copy of Bank Header

Access to Beri Salam platform will be sent to below email.

Name *

Email *