| Create New Maisha Account |
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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.
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INPUT THE FIRST 6 DIGITS OF YOUR CARD (card number)
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ID / Passport
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First Name
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Last Name
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Email Address (Login ID)
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Address
Town
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Postal Code
Country
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Type in your Preferred Password
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Confirm your Password
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