All My Internet form subscription

Application Form for All My Internet

Personal account holder

Citizenship *

Birth country *

Title *

Mr.

Mrs.

Ms.

Name *

Surname *

Account holder phone number *

Email *

Postal address *

City *

Please upload utility bill (BPC or WUC or Affidavit) *

jpg, jpeg, png, pdf

Occupation *

Self Employed *

Name of Employer (not asked for pensioners)

If you are non-citizen, please upload your work permit

jpg, jpeg, png, pdf

Please upload payslip with bank account number *

jpg, jpeg, png, pdf

Please upload your last 3 months bank statement *

jpg, jpeg, png, pdf

Date of Birth *

Place of birth *

ID/Passport Number *

Please upload ID or Passport *

jpg, jpeg, png, pdf

Date of issue *

Date of expiry *

Next of kin *

Relation *

Next of kin phone number *

Billing details

Full name *

Account holder phone number *

Address *

City *

Physical address *

Commercial messages

Do you wish to receive information /updates on promotions, new products and /or important marketing updates? *

Yes

If yes please let us know your preferred mode of communication:

SMS

Terms and conditions *

I have read and understood the Terms & Conditions

Subscription confirmation *

I, the undersigned, do hereby explicitly and unambiguously consent to the processing of my personal data provided in this application form, including the collection, use and transfer, in electronic or other form, of personal data as defined in the Data Protection Act, 2018 and other laws of Botswana, as applicable to the Company, its Subsidiaries or Affiliates, for the exclusive purpose of implementing, administering and managing my participation in Orange Botswana and Orange Money’s products and services and also confirming that I am aware of the information referred to at Section 18 of the Data Protection Act.

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Identify yourself

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Identify yourself

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