CissyTech Sales Agent Application Form

First Name

Last Name

Main Phone Number

Other Phone Number

Email

National ID Number (NIN)

Residence Address (district, village/area, then any other details)

Select Bank or Mobile Money

Account Name

Account Number

Referee 1

Referee 2

Personal Bio

National ID Copy (PDF, max 5MB)

LC1 Letter (PDF, max 5MB)

Qualifications/Cv/CoverLeter/Portifolio (up to 4 PDFs, max 5MB each)

I declare that the information provided is true and correct, and I consent to its use by the company for evaluation, verification, onboarding, and communication related to this application.

I have read and agree to the Independent Contractor Agreement, which outlines the commission-based payment structure and all related terms and conditions.