New Member Registration

Please fill out the form below to complete your account registration with ShelterStocks. All fields are required.

First name *

Last name *

Marital Status (Single, Married or Others) *

Nationality *

Your Residential Address *

Your email *

Phone Number *

Valid Means of Identification (National ID, Driver's License, Voters Card or International Passport)*

ID Number *

Issue Date *

Expiry Date *

Next of Kin's Full Name *

Relationship *

Next of Kin's Phone Number *

Next of Kin's email *

Next of Kin's Contact Address *

Account Name *

Account Number *

Bank *