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Last Updated:

6/20/2020

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Your Name

First Name, Last Name

Your Address

City, Region, Country

Post-Registration Data

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Thank you for applying to Zota...

Dear Mia,

Thank you for your interest in Zotapay.

Our compliance appetite does not allow us to on board your activity, we are sorry, wishing you good luck and goodbye for now!

Sales Team

Web: www.zotapay.com

Zotapay | Support | +44 208 068 2689

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New Horizon Building, Ground Floor, 3 ? Miles Philip S.W. Goldson Highway, Belize City, Belize.

Raw Data Registration Structure Registration Form Text

Registration

Phone (required)

First name

Last name

City

Region

Country

Credit Card

SEA

China

Japan

Africa

LATAM

United StatesAfghanistanAlbaniaAlgeriaAmericanSamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican Repub

Do you have other license?

Are you Business Licensed?

Data Name	Data Type	Options
Phone (required)	Text Box
First name	Text Box
Last name	Text Box
Email	Text Box
City	Text Box
Region	Text Box
Country	Text Box
	checklist
	checklist	Credit Card
	checklist	SEA
	checklist	China
	checklist	EU
	checklist	Japan
	checklist	Africa
	checklist	LATAM
	dropdown	+1
	number
	dropdown	+1
	dropdown	+1
	dropdown	+1
	dropdown	+1
	dropdown	+1
	option	United StatesAfghanistanAlbaniaAlgeriaAmericanSamoaAndorraAngolaAnguillaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean TerritoryBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican Repub
	option	No
	option	Do you have other license?
	option	No
	option	Are you Business Licensed?
	option	No