Step 1: Personal Info
Step 2: Account Type
Fields marked with * are required
Personal Information
Name & Surname
*
ID Number
*
Email Address
*
Mobile Number
*
Create Password
*
Strength:
Confirm Password
*
Residential Address
*
Delivery Address
*
Upload ID (ID / Passport)
*
Upload Proof of Address (POA)
*
I consent to FulTank processing my personal info in accordance with POPIA.
Your data is secure and encrypted.
Next
Reset
Account Type & Cards
Account Type
*
Individual
Company
Company Name
*
Company Registration Number
*
Number of Cards Required (2 or more)
*
Company accounts must request 2 or more cards.
Are you VAT registered?
Yes
No
VAT Number
*
Upload Registration Certificate (COR14.3)
*
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Submit Application