NESICT INFOTECH- ONLINE SERVICES

NESTICT INFOTECH-SERVICE ORDER FORM (READ NOTICE FIRST!!)

  1. { binding displayValue, mode=oneTime }

NOTICE!!

  1. AVERAGE TIME TAKEN FOR PROCESSING ORDER IS 5-10 MINUTES EXCEPT 
  2. BUSINESS/ COMPANY REGISTRATION TAKES ABOUT 4 DAYS.
  3. E-CITIZEN SERVICES LIKE GOOD CONDUCT YOU WILL BE REQUIRED VISIT SELECTED HUDUMA CENTRE OR THE OFFICE DURING REGISTRATION/APPLICATION
SERVICE SELECTION LIST (MULTI-SELECTION IS ALLOWED) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

ALL PRICE ARE FOR THE SERVICE(S) SELECTED AND CYBER SERVICE FEE

{ binding firstError.message }

DESCRIBE KIND OF SERVICE EXAMPLE IS MOMBASA COUNTY LICENSE RENEWAL

PERSONAL/ BUSINESS INFORMATION {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

ENTER YOUR NAME

{ binding firstError.message }

GIVE DETAILED INFORMATION

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }

UPLOAD RELEVANT REQUIRED DOCUMENTS

SUPPORTED FORMATS (JPEG, PDF, PNG, JPG, DOCX, XLS) NEED HELP? CLICK HERE

{ binding firstError.message }

TELEPHONE 07XXXXXXX

{ binding firstError.message }

PLEASE ENTER YOUR NATIONAL ID CARD

{ binding firstError.message }

ENTER A VALID EMAIL ADDRESS

BILLING / RESIDENTIAL ADDRESS {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

ENTER YOUR CURRENT RESIDENTIAL ADDRESS

{# pageNumbers}
Help us Improve our services {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
12345
{{ $context.parentContext.dataItem.get_label() }}
{ binding firstError.message }
{{ $context.parentContext.dataItem.get_label() }}
{ binding firstError.message }
{ binding firstError.message }

{~ Payment_Block_Label}

{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{binding Name}:{binding displayValue}---
{{ Cognito.resources['payment-amount-due'] + ":" }} {binding displayValue}
{# pageNumbers}
NESICT INFOTECH- ONLINE SERVICES

NESTICT INFOTECH-SERVICE ORDER FORM (READ NOTICE FIRST!!)

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}
{{ Cognito.resources['order-date-label'] }}: {binding displayValue}
{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}

{{ Cognito.resources['order-billing-info-header'] }}

{binding BillingName}
{binding BillingAddress.FullInternationalAddress}
{binding EmailAddress}
{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}

NOTICE!!

  1. AVERAGE TIME TAKEN FOR PROCESSING ORDER IS 5-10 MINUTES EXCEPT 
  2. BUSINESS/ COMPANY REGISTRATION TAKES ABOUT 4 DAYS.
  3. E-CITIZEN SERVICES LIKE GOOD CONDUCT YOU WILL BE REQUIRED VISIT SELECTED HUDUMA CENTRE OR THE OFFICE DURING REGISTRATION/APPLICATION
SERVICE SELECTION LIST (MULTI-SELECTION IS ALLOWED) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
DESCRIBE THE SERVICE HERE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
PERSONAL/ BUSINESS INFORMATION {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
INFORMATION ABOUT SELECTED SERVICE(S) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
ATTACHMENTS ( MAXIMUM OF 10 ATTACHMENTS) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
TELEPHONE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
NATIONAL ID NUMBER {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
EMAIL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
BILLING / RESIDENTIAL ADDRESS {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Help us Improve our services {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
NESICT INFOTECH- ONLINE SERVICES

NESTICT INFOTECH-SERVICE ORDER FORM (READ NOTICE FIRST!!)

{{ Cognito.resources['order-transaction-details-header'] }}

{{ Cognito.resources['order-number-label'] }}: {binding displayValue}
{{ Cognito.resources['order-date-label'] }}: {binding displayValue}
{{ Cognito.resources['order-method-label'] }}: {binding MethodReference}

{{ Cognito.resources['order-billing-info-header'] }}

{binding BillingName}
{binding BillingAddress.FullInternationalAddress}
{binding EmailAddress}
{binding Group}
{binding Name} - {binding Description}{binding displayValue}
{{ Cognito.resources['payment-subtotal'] + ":" }}{binding displayValue}
{{ Cognito.resources['order-total-label'] }}: {binding displayValue}

NOTICE!!

  1. AVERAGE TIME TAKEN FOR PROCESSING ORDER IS 5-10 MINUTES EXCEPT 
  2. BUSINESS/ COMPANY REGISTRATION TAKES ABOUT 4 DAYS.
  3. E-CITIZEN SERVICES LIKE GOOD CONDUCT YOU WILL BE REQUIRED VISIT SELECTED HUDUMA CENTRE OR THE OFFICE DURING REGISTRATION/APPLICATION
SERVICE SELECTION LIST (MULTI-SELECTION IS ALLOWED) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
DESCRIBE THE SERVICE HERE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
PERSONAL/ BUSINESS INFORMATION {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
INFORMATION ABOUT SELECTED SERVICE(S) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
ATTACHMENTS ( MAXIMUM OF 10 ATTACHMENTS) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}

{ binding firstError.message }
TELEPHONE {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
NATIONAL ID NUMBER {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
EMAIL {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
BILLING / RESIDENTIAL ADDRESS {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Help us Improve our services {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{{ $dataItem.get_label() }}
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }
Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}