Application Enquiry FormPlease complete this application form to begin your SaaS journey with us
Business Profile
Merchant Type *
Business Nationality *
Business ID Type *
Business ID Number *
Business Name *
Merchant Trading Name *
Business Type *
Premise Type *
Nature of Business *
Business Contact Details
First Name *
Last Name *
ID Type *
ID Number *
Nationality *
Contact Number *
Email *
Please note that this email will be used to access Finexus' sandbox merchant business portal.
Business Address
Main Address Line *
Additional Address Line
Additional Address Line
State *
City *
Postcode *
Country *
eCommerce Info
Industry *
Website *
Subscription Service
Subscription Service
Merchant Payment (Online & Offline)
Other Request
Company eSignature
Name *
NRIC/Passport *
Title *
e-Signature *
Add e-Signature
Date
Witness By
Name *
NRIC/Passport *
Title *
e-Signature *
Add e-Signature
Date
I hereby agree that I have read and understood theTerms and Conditionsas set out by FINEXUS Group and, on behalf of the named business, agree to be abide by them. The information provided in this form is true and correct to the best of my knowledge.
I acknowledge that I have entered into a separate non-disclosure agreement concerning the FINEXUS Group proprietary information. By this reference, the terms of theNon-Disclosure Agreementare incorporated herein. In the event of a conflict between me and the Non-Disclosure Agreement, the terms protecting the FINEXUS Group and its proprietary information will take precedence.