Palla Transfer
Customer Sign Up

Step 1 of 2

Please enter the customer's KYC details.

First name *Required *Please remove all special charachters: ( - , / , ' , # , $)

Middle name *Required *Please remove all special charachters: ( - , / , ' , # , $)

Last name *Required *Please remove all special charachters: ( - , / , ' , # , $)

TRN *Required *Only Numbers allowed *Format: 000-000-000

Mobile Number *Required *Only Numbers allowed *Format (876-000-0000)

Email *Required Invalid Email Format

Referral Agent ID/Code

Sign Up Date

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