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Registration
Create New Maisha Account
Please complete the form below to create a new account. This account will allow you to activate and manage your Maisha Covers. Your Email Address will be your Login ID. Please Note: All fields are required.
INPUT THE FIRST 6 DIGITS OF YOUR CARD (card number)
ID / Passport
First Name
Last Name
Email Address (Login ID)
Telephone / Mobile Number
Address

Town
Postal Code
Country
Type in your Preferred Password
Confirm your Password
Age Verification
I Agree that I'm 18 years and above

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