Wacurious Registration Actions

Today's Date *

Please enter the date you are filling this form (today's date)

What are your Official Names? *

What are your OFFICIAL names?

Date of Birth *

Please enter the date you were born (If you are using a mobile phone to fill this form, to quickly select the right date, please click the year on the top left and then select the right year, month and date)

Gender *

Please select your gender

ID Number *

What is your ID number?

Country *

Which COUNTRY are you located in?

County *

Which COUNTY are you located?

City *

What is the name of your town/shopping centre/local area/village?

When did you start living in your current location? *

Approximately, what date did you start living in the location or when did you start your business in this location? (If you are using a mobile phone to fill this form, to quickly select the right date, please click the year on the top left and then select the month and date)

Please click here to share your current location..

Phone Number - Calls & SMS *

Fill in the phone number you use for Calls and SMS?

Phone Number - WhatsApp

What is your WhatsApp Number. DO NOT fill in if your WhatsAPP number is the same as your number for calls and SMS

MPESA Number

What is your MPESA number (for payments)? DON'T fill in if it the same number you use for calls and SMS and which you filled above

Preferred Way of Communication *

What is your preferred way of communication?

Your Email Address *

Please enter your email address. It has to be an email address you can access

Employment Type *

Are you employed by someone of self employed

Profile Photo

Please upload your profile picture (we encourage you to upload a picture of yourself)

Highest Level of Education *

What is your highest level of education

What did you Study?

If your education level is Tertiary/college/university, please type in what you studied (leave blank if your level of education is Secondary School and below)

What do you do for a living? *

What is your current profession (what do you do for a living) (text) e.g. carpenter, farmer, teacher, businessman.

Social Media

Social Media