Pharmreps Registration

ID/Passport Number Gender
Nationality County
Constituency Ward
Date of Birth Place of Birth
Phone Number Email Address
Individual KRA PIN Number Postal Address
ID or Passport
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Individual KRA PIN
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Degree Certificate
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Curriculum Vitae (CV)
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Do you have any Disability? YES NO
Persons with Disabilities (PWDs) Certificate
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Work Permit
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Declaration: I hereby declare that the details furnished above are true, complete and correct to the best of my knowledge and belief. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

Know Your Customer (KYC) Compliance

As part of our commitment to serve you better and in line with KYC requirements, we are updating personal and business details. In compliance with these requirements, kindly submit below requested KYC documentation to access our services:


  • Verify ID Number
  • Enter PIN
  • Scan and attach ID
  • Scan and attach PIN