Registrasi Mandiri PayFren QRIS Merchant - Payfren

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Account Information

Your Account Information

Email

Phone Number

PIN

Business Information

Your Business Information

Merchant Name

Type of Business

Merchant Application

Logo Merchant

Photo of Business Location

Personal Information

Your Personal Information

NIK

NPWP No. (Optional)

Full Name

Gender

Male

Female

Place of Birth

Date of Birth

Province / City / Subdistrict / Ward / Village

RT / RW (Optional)

/

Postal Code

Address

KTP Photo

Selfie With KTP

Recipient Bank

Recipient Bank Name

Recipient Bank Account Number