KwikRent Registration Form
Personal Information
First Name
*
Last Name
*
Email
Gender
*
Select Gender
Male
Female
Ghana Card Number
Phone 1
*
Phone 1 Network
*
Select Network
MTN
Vodafone
AirtelTigo
Phone 2
Phone 2 Network
Select Network
MTN
Vodafone
AirtelTigo
Region
*
Select Region
Greater Accra
Ashanti
Western
Eastern
Central
Volta
Northern
Upper East
Upper West
Bono
Savannah
North East
Bono East
Ahafo
Oti
Western North
City
*
Occupation
*
Monthly Income
*
Self Employed
No
Yes
Has Payslips
No
Yes
Has Bank Statements
No
Yes
Has MoMo Statements
No
Yes
Rental Information
Monthly Rent Amount
*
Security Deposit
Rent Period (Months)
*
Repayment Frequency
*
Select Frequency
Daily
Weekly
Bi-Weekly
Monthly
Property Type
*
Select Property Type
Single Room
Chamber and Hall
Apartment
Property Address
*
Landlord Name
Landlord Contact
Tenancy Start Date
Tenancy End Date
Payment Type
Select Payment Type
Mobile Money
Cash
Bank Transfer
Agent
*
KwikRent Default (KA0000)
John Mensah (AG0001)
Guarantor Information
Guarantor 1 Name
Guarantor 1 Contact
Guarantor 1 Relationship
Guarantor 2 Name
Guarantor 2 Contact
Guarantor 2 Relationship
Submit Registration