RegCom Onboarding Form

RegCom Onboarding Form
Company Name*
Company Registration number *
To appear on Registered Certificate
Administrator Contact Name *

First NameLast Name
Administrator Email*
example@example.com
Billing details
Billing Contact Name *

First NameLast Name
Billing Contact Email*
example@example.com
Billing Contact number*

Area CodePhone Number
VAT number*
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Requirements
Where did you hear about us?
Does client need to generate a Purchase Order for invoicing purposes?

YesNo
Please stipulate process if applicable
Please choose your Registered Services

Registered EmailRegistered SMSRegistered Email and SMSBulk SMSeStatementsData verification
If you are interested in integrating RegCom services, please indicate the software or platform you currently use.
Confirmation in respect of the processing of personal information (POPIA), T's & C's and Privacy Policy

The Protection of Personal Information Act 4 of 2013 (POPIA) is the comprehensive data protection legislation enacted in South Africa. POPIA aims to give effect to the constitutional right to privacy, whilst balancing this against competing rights and interests, particularly the right of access to information.
To this end, we require your acknowledgement and explicit consent to the questions below in order to continue the provision of our services to you.

In addition, please read the T's & Cs and the Privacy Policy

Please contact us on 010 003 6742 or info@registeredcommunication.com should you have any queries.
I confirm that I am authorised to submit these answers on behalf of my CompanyI agree that “Personal Information” shall have the meaning ascribed to it in the Protection of Personal Information Act 4 of 2013 (“POPI Act”)I confirm that Registered Communication (Pty) Ltd ("Operator") processes Personal Information on my behalfI confirm that I am aware of and authorise the Operator to process any relevant Personal Information provided by the Data Subject or Responsible Party to the Operator on the Data Subject’s behalfI have read and accept the T's & C's
User Details
Users

The users listed below will receive login credentials for the RegCom portal via email. Once activated, they will be able to send Registered Email and Registered SMS messages.

Staff Users*

Rows	Name	Surname	Email
Admin User
User 1
User 2
User 3
User 4
User 5
User 6
User 7
User 8
User 9
User 10

*If additional Users are needed please provide name, surname and email below
Initial purchase volume*
R24.35 ex Vat per Registered Certificate
Signatory position in company*
Upload copy of ID*

Browse Files
Used for KYC compliance Cancelof
Signature*
Should be Empty:

RegCom Onboarding Form

Billing details

Other Requirements

User Details

Users