Registration Form

REGISTRATION FORM - A complete detailed registration form will be sent to you once the initial costs has been paid.

Once you have paid the initial costs of R629 (non refundable) via EFT/Direct Deposit or R629 via Credit Card, please fill in the registration form below and submit your details to us for assessment and membership fee from R1599.

 NOTE (THERE ARE NO REFUNDS FOR INITIAL ASSESSEMENT COSTS/as is for our time and service initiated)

MEMBERSHIP FEES: You will be informed of total cost of your membership and its options via a full registration form questionnaire and brochure posted or emailed to you once we recieve payment of above initial costs. The fees are based as per your unique case and profile (single, divorced, widow/er, with or without children) and time we will be working with your files. We will request you to answer some basic questions and as per your reply, the Bureau will forward to you the cost of your membership.

REGRET THAT, DUE TO TIME AND SERVICES COSTS INVOLVED, NO FREE SEEKERS WILL BE ENTERTAINED.

PERSONAL INTERVIEW ASSESSMENT / DURBAN OFFICE R750 / 1 HOUR VIA APPOINTMENT. You must book 3 days in advance because we are daily booked. (non refundable)

 R750 MAX 1 HOUR/We do call outs interviews in Durban area paid upfront at R999

FULLY GUARANTEED SERVICE

The initial costs is designed so we may not have chancers/doubtful people/non serious people/and free seekers. This is only on benefit of all members registered within the Bureau.
Please note all members re fully screened/no incorrect info is registered with the Bureau
This is not a web registration where you don't know if in REALITY who you are liaising with, and the person mentioned as per age,profession,residential address with us YOU ARE SAFE....

Name:
Age:
Status:  
Children:  
Number of Children :
Number of Children living with you:
Education:
Profession:
Area of Residence:
Telephone:
Cell:

Email:

  Payment Details
   
DIRECT DEPOSIT / EFT  
Bank FNB
Branch 222 826
Account holder ANS AGENCIES
Account number 549 911 60613
Reference your name
   
CREDIT CARD  
Name of card holder
Card No:
Expire Date: mm yyyy
CVC No: 
ID/Passport No:
 
 

I,above mentioned name Id/Passport no........................... and holder of the Credit Card Number,agree and AUTHORIZE ,Ansarys Agencies CC to charge the sum of R629 from my Credit Card for the assessment of my case and profile,and for the registrations forms,I will NOT have any future disputes and I am aware this sum is NOT REFUNDABLE once I understand the payment is for the initial service Costs
I Authorize  and submit

 

 

 
 
 
Once your profile is assessed by the panel, the fee and options of membership will be available, you  may then email the forms/make payments (via internet, direct deposit/credit card) and you will be sent the original forms via post (later). You will join temporarily  via email  filled forms.



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