CHA ID *
[Valid format: CHAXXXXXXX]
[Required]
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CHA ID Valid Up To *
[Month]
| January |
| February |
| March |
| April |
| May |
| June |
| July |
| August |
| September |
| October |
| November |
| December |
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[Year]
[Required]
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NIC Number *
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Full Name *
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Name With Initials *
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Password *
[8 characters minimum; no spaces]
[Required]
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Re-type Password *
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If you forget your password, below information will be used for identification and verification
Security Question *
| What is your pet's name? |
| What was the name of your first school? |
| Who was your childhood hero? |
| What is your favorite past-time? |
| What is your all-time favorite sports team? |
| What is your father's middle name? |
| What was your high school mascot? |
| What make was your first car or bike? |
| Where did you first meet your spouse? |
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Your Answer for the security question *
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Company TIN Number *
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Company Name *
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Business Registration Number *
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Address *
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CHA Mobile Number *
[Valid format: 07X XXX XXXXX]
[Required]
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CHA Company Telephone *
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CHA Primary Email *
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CHA Primary Email Confirm*
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Supporting documents upload
Business Registration Certificate *