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Ref ; Saf-MSAL – 003 effective 10/02/2010

M-PESA FLOAT MANAGEMENT TILL APPLICATION FORM

Company
Name

Application Type: Management Till Primary Assistant’s Details

Store Name Of Outlet (as Physical Location Town/Region Name Contact Number
Number it appears in the system

Application/s Brought By: …………………………………………………… Signature: …………………………………………Official Stamp …………..…………………

Thank you for your application. We will process your application and get back to you incase of any queries. In the event that you have any queries regarding your application,
please contact the Area Sales Managers as per Bulletin 80 or email mpesaagentadmin@safaricom.co.ke
.

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