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Application Form
We need your full delivery address please, if it's not complete we cannot process your application

Trading Name

First Name

Last Name

SA ID No. Passport No.

Nationality

Cell Number

Full Physical Address

(Street Number
Street Name & Area)

Area Code

Province

E-mail

Criminal Record

Select the products you are interested in.

Select One or More Options from Below
Buy A Business

Please upload a certified copy of your ID or Passport as well as Proof of Residence using the field below.

Alternatively fax the forms to 086 566 2326 or e-mail them to sales@2ndcell.co.za

Upload File

I confirm that I have read and understood the terms and conditions of the RICA legislation and understand my obligation with respect to RICA and by signing this document I agree to the conditions and indemnify Smartphone (Pty) Ltd and 2ndCell (Pty) Ltd in regard to registering subscribers under the RICA. Terms and Conditions of RICA Legislation are available here

Date

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