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AGENCY REGISTRATION

  • Agency Name*
  • Country*
  • Company/Business Registration Numbers*
  • Agency Email*
  • Contact Person
  • Agency Phone
  • Agency Mobile

  • Address(Austraila)

    • State
    • Post Code
    • Suburb
    Address

  • Address(abroad)

    • State
    • Post Code
    • Suburb
    Address

  • Bank (Australia)

    • Bank Name
    • Swift Code
    • BSB
      • -
    • Account Name
    • Account Number
    Bank Address

  • Bank (International Banking Info)

    Banking Info

  • File Upload

    Evidence of Agency No.*
    Required
    Uploaded File
    Not uploaded

  • Comments

  • Administrative account for Genie System

    • Given Name*
    • Family Name*
    • Title*
    • Gender*
    • Date Of Birth*
    • Nationality*
    • Mobile*
      This email will be the administrative account of your agency.
    • Email*
    • Password*
    • Confirm Password*