Create New Agent
Fill in the agent's details below
First Name
*
First Name *
Middle Name
Middle Name
Surname
*
Surname *
Gender
*
Gender *
Email
*
Email *
Mobile Number
*
Mobile Number *
Other Phone
Other Phone
KRA PIN
KRA PIN
ID Type
*
ID Type *
ID Number
*
ID Number *
Partner Information
Partner Source
*
Partner Source *
Streams
*
Streams *
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