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Applicant Details

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Address *Phone Number
 
Mobile Number
 
Request being submitted by *Organisation
 
Category *
 
Request / Comments *
 
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Payment Gateway
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Transaction Type Field
 
Authorisation Code Field
 
Batch Number Field
 
Host Code Field
 
Host Message Field
 
Merchant Account Field
 
Merchant Terminal Field
 
Masked Card Number Field
 
Detected Card Application Field
 
Payment Date Field
 
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Payment Id Field
 
Payment State Field
 
Amount In Cents Field
 
Payment Gateway Reference Field
 
Email Address Field
 
PG Data Field (PG Data)
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Assignments Field (String[])
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Property Changed Event
 
 
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