Siba | General

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Type

Intermediary type required.

Code

Code is required. Code must specify at least 15 characters.

Channel

Code is required.

Name is required.

Business Source

Code is required.

Name is required.

Official Name

Name is required.

Phone No.

Mobile No.

Email is required. Please enter a valid email (user@domain.com).

Contact Persons

Name is required.

Postal Addrs

Bank Name

Customer type required.

Exchage Rate is required.

Bank Branch

Customer type required.

Exchage Rate is required.

Account Number

Account number is required.

Gender

ID Type 1

ID is required.

ID Type 1 No.

ID Number is required.

ID Type 2

ID Type 2 No.

Print.

Print Name.