Welcome to 1st Data Link Data Management Portal
 

:: New Merchant Sign Up Form ::

:: LOGIN CREDENTIAL DETAILS ::
Desired Username :  
Password :  
Re- Type Password  :  

:: MERCHANT COMPANY DETAILS ::
Merchant Company Name :  
Merchant Origin Country :  
Contact E-Mail :  
Contact Phone Number :    
Street Number :  
Street Name :  
State :  
City / Town :  
Postal Code :  

:: WEBSITE INFORMATION ::
Website URL :  
Product Services :  
Descriptor :  

:: ADMINISTRATOR / MANAGER INFORMATION ::
Full Name :  
Street Number :  
Street Name :  
Country :  
State :  
City :  
Postal Code :  
Phone Number :    
Mobile Number :    
E - Mail Address :  
Passport / Driving Licence Number :  

:: CUSTOMER SERVICE ::
Contact Name :  
Phone Number / Toll Free :  
E-Mail Address :  

:: PROCESSING HISTORY INFORMATION ::
Do you currently accept Credit Cards :  
Have you ever processed before :  
Have you ever had a Merchant Account Terminated? :  
If Yes, Please state the reason :  
Former / Current Processor :  

:: TRANSACTION INFORMATION ::
Estimated Total Sales Per Month :  
Number of Transactions per Month :  
Minimum Ticket Amount :  
Maximum Ticket Amount :  

:: BANKING INFORMATION ::
Account Holder Name :  
Account Holder Address :  
Account Holder Country :  
Bank Routing Number :  
Bank Account Number :  
Bank Name :  
Bank Address :  
Bank Country :  
Bank Swift Code :  
Additional Info :