Skip to main content
EveryData Guyana
regions
Regions
Global
Barbados
ECCU
Guyana
Jamaica
Home
Submit a ticket
Submit a ticket
Choose...
Credit Report Application GY
Register a Dispute GY
Email
*
Confirm Email
*
First Name
*
Last Name
*
Date of Birth
*
Address
*
Address 2
Country
*
Choose...
Barbados
Eastern Caribbean
Guyana
Jamaica
Australia
Canada
Cayman Islands
Costa Rica
Ethiopia
Germany
The Bahamas
The Netherlands
Trinidad and Tobago
United Kingdom
United States
Other
Mobile Phone
*
Other Phone
Customer Type
Choose...
Individual
Company
<div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_reg_no_2759700" class=" form-label"> Company Name <span class="fw-asterisk">*</span> </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_cf_reg_no_2759700" placeholder="" name="helpdesk_ticket[custom_field][cf_reg_no_2759700]" required > <div class="invalid-feedback helpdesk_ticket_custom_field_cf_reg_no_2759700"></div> </div> <div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_tax_no_2759700" class=" form-label"> Company Registration Number <span class="fw-asterisk">*</span> </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_cf_tax_no_2759700" placeholder="" name="helpdesk_ticket[custom_field][cf_tax_no_2759700]" required > <div class="invalid-feedback helpdesk_ticket_custom_field_cf_tax_no_2759700"></div> </div>
Creditor Name
Choose...
Amalgamated Transport & General Co-operative Credit Union Ltd
Ansa Mcal
Assuria General (Guyana) Inc.
Bank of Baroda
Citizens Bank Inc.
Demerara Bank
DeSinco Limited
Dolla Guyana Inc
Guyana Bank for Trade and Industry Ltd
Guyana Defense Force Co-op Credit Union
Guyana Power & Light Ltd.
Guyana Telephone and Telegraph Company Ltd
Guyana Water Inc.
Hand in Hand Trust Corporation
Institute of Private Enterprise Development
Macorp
Massy Distribution (Guyana) Ltd
Massy Gas Products (Guyana) LTD
Massy Industries (Guyana) Ltd.
Ministry of Finance (Student Loan Agency)
New Building Society
Republic Bank Ltd
Rubis Guyana Inc
Scotiabank
Sol Guyana Inc
Trust Company Guyana Ltd.
U-Mobile Cellular Inc.
Unicomer Guyana Inc.
Verifile Limited
Disputed Contract(s) and Information
*
Correct Contract(s) Information
*
Identification Dispute
Choose...
National ID Number
Name
<div class="form-group helpdesk_ticket_custom_field_cf_dispute_id_type_2759700"> <label for="helpdesk_ticket_custom_field_cf_dispute_id_type_2759700" class=" form-label"> Dispute ID Type </label> <select class="form-control choices section-field" id="helpdesk_ticket_custom_field_cf_dispute_id_type_2759700" name="helpdesk_ticket[custom_field][cf_dispute_id_type_2759700]" data-placeholder = '' > <option value>Choose...</option> <option data-custom-properties='{"id": "{"data-id"=>150000737145}"}'value="National ID"> National ID </option> <option data-custom-properties='{"id": "{"data-id"=>150000737146}"}'value="Drivers License"> Drivers License </option> <option data-custom-properties='{"id": "{"data-id"=>150000737147}"}'value="Passport Number"> Passport Number </option> </select> <div class="invalid-feedback helpdesk_ticket_custom_field_cf_dispute_id_type_2759700"></div> </div> <div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_incorrect_id_number_2759700" class=" form-label"> Incorrect ID Number </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_cf_incorrect_id_number_2759700" placeholder="" name="helpdesk_ticket[custom_field][cf_incorrect_id_number_2759700]" data-number = "true" > <div class="invalid-feedback helpdesk_ticket_custom_field_cf_incorrect_id_number_2759700"></div> </div> <div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_correct_id_number_2759700" class=" form-label"> Correct ID Number </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_cf_correct_id_number_2759700" placeholder="" name="helpdesk_ticket[custom_field][cf_correct_id_number_2759700]" data-number = "true" > <div class="invalid-feedback helpdesk_ticket_custom_field_cf_correct_id_number_2759700"></div> </div>
<div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_disputed_name_2759700" class=" form-label"> Incorrect Name </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_cf_disputed_name_2759700" placeholder="" name="helpdesk_ticket[custom_field][cf_disputed_name_2759700]" > <div class="invalid-feedback helpdesk_ticket_custom_field_cf_disputed_name_2759700"></div> </div> <div class="form-group "> <label for="helpdesk_ticket_custom_field_cf_correct_name_2759700" class=" form-label"> Correct Name </label> <input type="text" class="form-control " id="helpdesk_ticket_custom_field_cf_correct_name_2759700" placeholder="" name="helpdesk_ticket[custom_field][cf_correct_name_2759700]" > <div class="invalid-feedback helpdesk_ticket_custom_field_cf_correct_name_2759700"></div> </div>
Signature
*
I agree that EveryData Guyana can access my information held in the Credit Bureau database in accordance with the Credit Reporting Act 2010 and Credit Reporting (Amendment) Act 2016
*
Attachment
Attach a file
Cancel
Submit
Related articles
Code Snippet
Select Language
Html
Css
JavaScript
Sass
Xml
Ruby
PHP
Java
C#
C++
ObjectiveC
Perl
Python
VB
SQL
Generic Language