APPLICATION FORM

Please complete the application form to help us understand your requirements better.

This application form serves for us to get to know you and your company / organisation better in order to advise on possible payment solutions that best fit your needs. Once the payment solution has been identified, an agreement will be signed to deploy the required payment services.



1. Merchant Information

Name of Merchant:* Nature of Business:*
Description of Goods and/or Services
that Credit Card payments are expected to be made for*


Registered Address:*


Correspondence Address:*


2. Contact Details

Main Contact* Technical Personnel Finance Personnel
Name:      
Email:      
Phone:     
Fax:      


3. Website Details

Please declare all URL(s) containing merchant’s company or trading name


Primary Site URL:  


Secondary Site(s) URL:



4. Interested Payment Services

I am interested in signing up for this service(s)

Credit Cards (VISA/MasterCard)Credit Cards (AMEX)Direct DebitChina Union Pay



5. Projected Transaction Amount

Please indicate amounts in terms of equivalent Singapore Dollars (SGD)


Minimum Amount Per Transaction* Average Amount Per Transaction*
S$ S$
Maximum Amount Per Transaction* Average Monthly Volume*
S$ S$


6. Transaction Limits

The default limit will be S$2,000. Request for higher limits will be subjected to approval.
Please indicate required amounts in terms of equivalent Singapore Dollars (SGD).


Card Per Day Transaction* Single Transaction*
S$ S$


7. Merchant's Settlement Bank Account Details

(If any)


Name of Bank and Branch: Bank Account Name: Bank Account Number:



8. ACRA Business Profile *

- Support PDF and .zip format. If more than 1 document please kindly zip up the files and upload in .zip format -




9. Acknowledgement*

We hereby warrant that:

(a) all corporate action and approval necessary or relevant to our application herein has been duly taken or obtained and are in force.
(b) all particulars and information stated herein are true and accurate;
(c) application will be treated as confidential. (mPayment Personal Data Protection Clause)
(d) mPayment reserves the right to reject the application without assigning any reason.


 Please check to agree to the above terms.



- Please allow 7 working days for processing of application upon receiving your form. -

* Required Fields