Partnership Application Form
Malaysian Companies / Individuals
I am
*
An individual Agent
Company Agency
Company Name
*
Company Website
*
Number of Employees
*
Company Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which countries you recruit your students from
*
Upload Logo
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Person in charge details
Name
*
First Name
Last Name
Phone Number
*
Whats App Number
*
Email Address
*
example@example.com
How would you like to receive your commission?
Cash
Bank Transfer
Western Union Transfer
Please provide us with Bank Details
Please provide us with the following details for western union transfer
Receiver full name
*
First Name
Last Name
Receiver Phone Number
*
Receiver phone number
*
-
Country Code
-
Area Code (If Any)
Phone Number
Submit
Should be Empty: