Partner Form

Name *

First

Last

Date of Birth *

Email *

Mobile Number *

Full Home Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Company Name (If representing any company)

Do you work with any other Acquirer or ISO? If yes, please mention the company name below

Have you ever worked or partnered with Novopay in the past? *

Bank Account Holder Name *

Account Number *

Sortcode *

Proof of ID

Click or drag a file to this area to upload.

Proof of Home Address

Click or drag a file to this area to upload.

Proof of Bank

Click or drag a file to this area to upload.

Photo for ID (Selfie)

Click or drag a file to this area to upload.

Any Additional Info?

Self Employed Partner Form