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Create New Maisha Account
Please complete the form below to create a new account. This account will allow you to activate and manage your Maisha Covers. Your Email Address will be your Login ID. Please Note: All fields are required.
First Name
Last Name
Email Address (Login ID)
Telephone / Mobile Number
ID / Passport
Date of Birth
Address

Postal Code
Town


Country
Type in your Preferred Password
Confirm your Password
Age Verification
I Agree that I'm 18 years and above
I am not a Robot
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