Register - DIIS AGENT PORTAL

Register As DIIS AGENT PORTAL

Or sign in to your account

Company Name ^*

Agent Number ^*

Email ^*

Phone ^*

Local or Foreign ^*

Address ^*

Office Location ^*

County

Sub County

Countries of Operation

Max Immigrants Per Year ^*

Max Contracts Per Year ^*

License Number ^*

Business/Company Registration Number ^*

License Start Date ^*

License End Date ^*

Insurance Company

VALID Business/Company Insurance Attachment ^*

KRA PIN ^*

KRA Attachment ^*

Business registration attachment ^*

VALID License Attachment ^*

First Name ^*

Middle Name ^*

Last Name ^*

Phone ^*

ID Number ^*

Email ^*

Password ^*

Password Confirmation ^*