IMS
Instructions
Capture in all the mandatory fields, these are indicated with the red *. Accept the disclaimer by ticking the checkbox and then click the Create Profile button.
Register A New Profile
Account Number
Title
Select Title
Mr
Mrs
Ms
Dr
Miss
Prof
Pastor
Pres.
Other
South African Citizen
RSA ID No
Passport Number
First Name
Last Name
Preferred Notification Method
Select Notification Type
Email
Sms
nickey.hayton
Both
Mobile Number
Email Address
Username
Password
Confirm password
Physical Address
Show Map
Street Number
Street Number is required.
Street Name
Street Name is required.
City
Town
Physical Address Code
Longitude-Latitude
Postal Address
Postal Address same as Physical?
Yes
No
Show Map
Street Number
Street Name
City
Town
Postal Code
Latitude-Longitude
We aim to ensure that the data you submit to us remains confidential and is used only for the purposes stated in the data privacy document. Please confirm that you accept our data privacy statement.
I Accept
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