FlexiPay Application Form | CellPhone Warehouse

Apply for FlexiPay

Please enter your infoemation below and attach required documents. All Fields are Required before submission can occure.

Form Name *

Full Name

Please enter First name + Last Name

Phone Number *

Important for contacting you

Your Email *

Important for contacting you

Omang / Passport Number *

Please enter your valid Omang/ Vaid Passport Number

Physical Address *

Where do you reside?

Employer *

Who is your employer?

Occupation *

What possition are you occupying?

Omang/Passport *

Please upload copy of your Valid Omang / Valid Passport and Work Permit

Proof of Address *

please upload utility bills and lease agreement

Proof of Employment *

Please upload letter or employment

Payslip *

Please upload latest payslip

Bank Statement *

Please upload 6 months bank statement

Device Applying for *

Which device would you like to FlexiPay?

Submit

Thank you for your Application!