Agent Registration

Level 1: Personal Identification

Primary legal credentials. Applicants must be at least 18 years of age.

Full Legal Name *

Please enter your full legal name.

Name with Initials *

Please enter your name with initials.

National Identity Card (NIC) *

Please provide a valid Sri Lankan NIC.

Date of Birth * (Age 18+)

Applicant must be at least 18 years old.

Contact Number *

Please enter a valid Sri Lankan phone number (e.g. 0771234567).

Verify this number with a one-time code sent by SMS.

Email Address *

Please enter a valid email address.

Nationality *

Please select your nationality.

Civil Status *

Please select your civil status.

Gender *

Please select your gender.

Permanent Residential Address *

Please enter your permanent residential address.

Agent Photograph *

Upload Portrait Photo

JPG or PNG, max 2MB

Please upload your passport/portrait photograph.

Level 4: Referees & Portal Security

Two non-related professional referees and authenticated portal security access.

Professional Referees (Non-Related)

Referee 1

Full Name *

Referee name is required.

Designation *

Referee designation is required.

Company / Organization *

Company name is required.

Phone Number *

Valid phone number is required.

Official Email *

Valid email address is required.

Referee 2

Full Name *

Referee name is required.

Designation *

Referee designation is required.

Company / Organization *

Company name is required.

Phone Number *

Valid phone number is required.

Official Email *

Valid email address is required.

Portal Password & Security

Password *

Password must be 8+ characters, with at least 1 number and 1 special symbol.

Minimum 8 characters

At least 1 number

At least 1 special symbol (!@#$%^&*)

Confirm Password *

Passwords match

Passwords do not match.

I confirm that the information given is true and I agree to obey all the rules, terms and conditions of Muthugala Agro Harvest (Pvt) Ltd.

You must review and agree to the compliance terms to complete registration.

Agency Representative Application

Level 1: Personal Identification

Level 2: Academic & Professional Credentials

G.C.E. Ordinary Level (O/L)

G.C.E. Advanced Level (A/L) (Optional)

Professional & Tertiary Qualifications

Level 3: Experience & Competencies

Work Experience (Optional)

Functional Skills

Language Proficiencies * (Select at least one)

Level 4: Referees & Portal Security

Professional Referees (Non-Related)

Portal Password & Security