Merchant Approval Form
Merchant General Information
Commercial Registration No (CR)/Freelance Registration No
Ahad Al Musarihah
Al Madinah Al Munawwarah
Dawmat Al Jandal
Hafar Al Batin
Hawtat Bani Tamim
King Abdullah Economic City
Makkah Al Mukarramah
Qaryat Al Ulya
Riyad Al Khabra
Date of Incorporation (dd/mm/yyyy)
Type of Business (as per CR)
How long have you been trading ?
More than 10
Do you already sell products via other means (sales outlets, showrooms or mail order? If yes, please specify?
Approximate Total Annual Sales?
Contact Person Details
Website (that requires payment gateway)
Demo link of website (if not live)
Email ID (for login & transaction alerts)
Products / Services to be offered
Target customer market
Price range of your product or service?
Estimated site hits per day
Do you already have a E-commerce website If yes, specify server location ?
Which languages does your e-Commerce website support ?
Website and Platform Programming language(PHP,JAVA, C#, Dot Net)
Who is your current e-Commerce payment processing bank ?
Al Rajhi Bank
Arab National Bank
Samba Financial Group (Samba)
Saudi Investment Bank
The National Commercial Bank
The Saudi British Bank
Provide the date of commencement the web business or when is it planned to commence?
Do you provide your customer with a mechanisim to review all his purchased items
How many transactions do you expect to do monthly?
How much is the total amount of monthly transactions expected?
What is the daily transactional limit for each user?
What is the maximum transaction amount expected online ?
What is the average amount expected per transaction ?
Do you have a Terms and Conditions on your website?
Which currencies do you wish to support ?
Internal use for BayanPay
Attach Company Registration (CR)/Free Lancer
Attach Copy of ID/Iqama
I/We hereby declare and confirm that the above information provided by me/us is true and correct. I/We agree to indemnify BayanPayment Company., its officers, directors in case of any loss, harm, damage or penalty suffered by/imposed on them due to any information provided by me/us is incorrect, incomplete or false.
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