IPG Sign Up – HashNET Solutions

Name *

First

Last

Phone *

Email (Personal) *

Type of Facility Requird *

POS
Customer Loyalty
Lanka QR
Campaign Manager
Just Pay
Cash Register
IPG

Layout / Phone

Registered Business or Company Name / Legal Name

Trading Name (if differs from registered name) *

if Not Just type "N/A"

Nature of Business *

Retail
Food & Beverage
FMCG
Hardware
Fashion Retail
Restaurant
Health Care
Education
Other

Nature of Business (Other) *

Business Reg. / Company Reg. No. *

Date of Registration *

Principal Place of Business *

Correspondence Address *

Business Phone *

Fax

Income Tax File No.

Approximate Annual Turnover

Approximate transaction / month

Website URL

Banking Details

Account Name *

Bank *

Account Numbers *

Bank Code *

Bank Code Help

Branch Name *

Branch Code *

Branch Code Help

1st Director / Owner Name *

NIC / SLIN Number *

Contact Number *

Email *

2nd Director Name

NIC / SLIN Number *

Contact Number *

Email *

3rd Director Name

NIC / SLIN Number *

Phone *

Email *

Authorized Point of Contact

Name *

Designation *

Email *

Contact Number *

Account Department

Name

Designation

Phone

Please upload the following documents according to your legal status *

Proprietorship / Partnership
Clubs / Societies & Associations
Limited Liability Company

Limited Liability Company corporate documents first page needs to be signed by two directors or one director with company secretory.

Copy of NIC / SLIN *