NIDC - SECURED & PROTECTED HORIZON

Enter Company Name *

Enter Tin Number *

VAT Registration Number (eg. 12-345678-A)*

Business License Number *

Contact Person

Position Held

Contact Telephone *

Office Telephone *

Email Address *

Postal Address

Region *

District *

Fax

Customer Type *

Upload your attachments or any other relevant file. Max file size 50 MB

Attach Tin Number (PDF) *

Attach Business License (PDF) *

SERVICES REQUESTED

Service Name *

Domain Name

Quantity *

Initial cost before VAT

Initial Cost after VAT

Monthly Cost Before VAT (TZS)

Monthly Cost After VAT (TZS)

Total service costs per Annual (VAT Inclusive) (TZS)

Payment Mode *

PAYMENT CYCLE NB For Web Hosting is Prepaid and Yearly

Monthly

Quarterly

Semi-Annually

Annually

Service costs (Based on Payment Mode) (TZS) *