Membership Application Form

Thank you for your interest in joining the Chamber of Online Payments and Mobile Money
Operators Ghana. Please fill out the form below to apply for membership.

Company Form

Director's Name

Company Name

Phone

Email Address

Website

Business Information

TIN No.

Nature of BusinessOnline Payment ProviderMobile Money OperatorFintech CompanyOthers

if others please specify

Address

City

Region

Nationality

Director's GH Card NO.

Copy of GH Card

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Year of Establishment

Number of Employees

Business Reg. No.

Membership Category

Please select the membership category you are applying for:Corporate Member (For registered companies operating in the online payments and mobile money industry)Associate Member (For startups, SME’s, service providers, consultants, individuals, or emerging industry players)Affiliate Member (For international organizations or partners supporting the industry e.g. Banks, Regulators etc.)Please select the membership category you are applying for:

Declaration

DeclarationI confirm that the information provided is accurate and complete. I agree to abide by the rules and regulations of the Chamber of Online Payments and Mobile Money Operators Ghana.

Certificate of incorporation:

Business Registration Certificate

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Tax Clearance Certificate

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Submit