SOF FORM INDIVIDU ONLY
CM 00191
NAMA PEMOHON
*
Huruf Besar
NOMBOR IC
*
Tanpa (-)
ALAMAT PEMASANGAN
*
Baris pertama
Baris kedua
City
State / Province
Postal / Zip Code
NEGERI
*
Please Select
JOHOR
KEDAH
KELANTAN
KUALA LUMPUR
LABUAN
MELAKA
NEGERI SEMBILAN
PAHANG
PERAK
PERLIS
PULAU PINANG
PUTRAJAYA
SABAH
SERAWAK
SELANGOR
TERENGGANU
POSKOD
*
NOMBOR TELEFON (PEMOHON)
*
-
013/012/017
Phone Number
NO. TELEFON (PASANGAN / KELUARGA)
*
-
013/012/017
Phone Number
TARIKH LAHIR (PEMOHON)
*
/
Day
/
Month
Year
Date
BANGSA
*
Malay
Chinese
Indian
JANTINA
*
Lelaki
Perempuan
MODEL PRODUK
*
Please Select
NEO PLUS
CINAMON
GLAZE
KECIL
VILLAEM 2
CORE
OMBAK
LUCY
HARRY
INCEPTION
MATE
FERRY
OMBAK & LOMBOK 3
OMBAK & STORM
VILLAEM 2 & STORM
VILLAEM 2 & LOMBOK 3
NEO PLUS & STORM
NEO PLUS & LOMBOK 3
BAMBOO PLUS & NEO PLUS
BAMBOO PLUS & KECIL
BAMBOO PLUS & CINAMON
BAMBOO PLUS & GLAZE
BAMBOO PLUS & VILLAEM 2
BAMBOO PLUS & HARRY
BAMBOO PLUS & CORE
BAMBOO PLUS & OMBAK
BAMBOO PLUS & INCEPTION
BAMBOO PLUS & LUCY PLUS
BAMBOO PLUS & STORM
BAMBOO PLUS & LOMBOK 3
BAMBOO PLUS & TUBA
BAMBOO PLUS & BATERI BIDET
BAMBOO PLUS & FORTANA
BAMBOO PLUS & LILY
LOMBOK 3
BREEZE
CAPTAIN
STORM
TUBA
BAMBOO PLUS
LILY
FONTANA BIDET
MANUAL BIDET
BATTERY BIDET
KUANTITI (UNIT)
*
HARGA BULANAN (RM)
*
Tulis Angka sahaja
RENTAL PERIOD (MINIMUM RENTAL PERIOD + EXTENDED PERIOD)
3 + 2
5 + 0
6 + 0
7 + 0
Other
NOMBOR KD BNK
*
Nombor dihadapan kad bank 16 digit ( 0000 0000 0000 xxxx )
NOMBOR KD BNK (4 DIGIT TERAKHIR)
*
Nombor dihadapan kad bank 4 digit belakang ( xxxx xxxx xxxx 0000 )
PANEL BNK
*
Please Select
CIMB - CIMB BANK BHD
CIMB-I - CIMB ISLAMIC BANK BHD
MBB - MAYBANK BHD
MBB-I - MAYBANK ISLAMIC BHD
BIB - BANK ISLAM (M) BHD
BKRB - BANK KERJASAMA RAKYAT (M) BHD
BSN - BANK SIMPANAN NASIONAL
BSN-I - BANK SIMPANAN NASIONAL (ISLAMIC)
PBB - PUBLIC BANK BHD
PBB-I -PUBLIC BANK (ISLAMIC)
RHB - RHB BANK BHD
RHB-I - RHB ISLAMIC BANK BHD
AFB - AFFIN BANK BHD
AFB-I - AFFIN ISLAMIC BANK BHD
AGR - AGROBANK
ALB - ALLIANCE BANK MALAYSIA BHD
ALB-I - ALLIANCE ISLAMIC BANK BHD
AMB - AM BANK
AMB-I - AM BANK ISLAMIC
BMB - BANK MUAMALAT (M) BHD
CITI - CITIBANK BHD
HLBB - HONG LEONG BANK BHD
HLBB-I - HONG LEONG ISLAMIC BANK BHD
AEON - AEON SERVICE CREDIT
ALRAJHI - AL RAJHI BANKING & INVESTMENT CORPORATION (MALAYSIA)
BBB- BANGKOK BANK BHD
BOA - BANK OF AMERICA (M) BHD
BOC - BANK OF CHINA (M) BHD
BOT - BANK OF TOKYO-MITSUBUSHI (M) BHD
DEUSCHE - DEUSCHE BANK (M) BHD
EON - EON BANK BHD
EON-I - EONCAP ISLAMIC BHD
HSBC - HSBC (M) BHD
HSBC-I - HSBC (M) BHD (ISLAMIC)
JPMC - J.P MORGAN
MBF - MBF BANK
OCBC - OCBC BANK (M) BHD
OCBC-I OCBC BANK (M) BHD (ISLAMIC)
SBB - SOUTHERN BANK BHD
SCB - STANDARD CHATERED BANK (M) BHD
SCB-I - STANDARD CHARTERED BANK (ISLAMIC)
UOB - UNITED OVERSEAS BANK (M) BHD
TAMAT TEMPOH KD BNK
*
Contoh : 11/22
SIGN PEMBELI
*
NAMA AGEN
*
PHONE AGEN
*
-
Area Code
Phone Number
GAMBAR DOKUMEN
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PASTIKAN KAD ATM DAN IC JELAS KELIHATAN TANPA SILAU FLASH
Cancel
of
RUANGAN AGEN SAHAJA
TAK PERLU ISI "AAA" DALAM NO SOF
KOD AGEN
CDXXXXXX
NO SOF (AAA) - TAK PERLU TULIS "AAA" !
NO SOF CDXXXXXX_XXXX - RUJUK TURUTAN SUBMISSION SALES TERDAHULU
PROMOTION CODE
Please Select
COWAY FIESTA
COWAY FIESTA - OMBAK FREE GIFT (MINERAL FILTER X3)
EX-TRADE - OMBAK FREE GIFT (MINERAL FILTER X3)
JOM TUKAR (NON DIRECT DEBIT): RM0 RPF
CORPORATE MEGA DEAL: RM104 RENTAL (HARRY)
EX-TRADE MEGA DEAL: RM104 RENTAL (HARRY)
MEGA DEAL 2.0 (5-99 UNITS)
MEGA DEAL 2.0 PLUS (≥100 UNITS)
I-CARE: RM10 OFF + RM0 RPF
I-CARE: RM5 OFF + RM0 RPF
---------------------------------------------------
COMBO - NEO PLUS (WOW)
COMBO - VILLAEM II
COMBO - OMBAK
COMBO - STORM (WOW)
COMBO - LOMBOK III (WOW)
COMBO - BATERI BIDET (WOW)
---------------------------------------------------
TRADE X-5 - VILLAEM 2
TRADE X-5 - OMBAK
TRADE X-5 - HARRY
TRADE X-5 - CORE
TRADE X-5 - INCEPTION
TRADE X-5 - LUCY
---------------------------------------------------
WOW 5 - KECIL
WOW 5 - NEO PLUS
WOW 5 - STORM
WOW 5 - LOMBOK 3
WOW 5 - CORE
WOW 5 - HARRY
WOW 5 - BATERI BIDET
WOW 7 - KECIL
WOW 7 - NEO PLUS
EX-TRADE WOW 5 - KECIL
EX-TRADE WOW 7 - KECIL
EX-TRADE WOW 5 - NEO PLUS
EX-TRADE WOW 7 - NEO PLUS
EX-TRADE WOW 5 - STORM
EX-TRADE WOW 5 - LOMBOK 3
EX-TRADE WOW 5 - CORE
EX-TRADE WOW 5 - HARRY
EX-TRADE WOW 5 - BATERI BIDET
EXTRADE: RM0 RPF +RM5/RM10 OFF
ONE+1 (24 MONTHS WARRANTY)
EXTRADE ONLY (OLD ORDER NUMBER)
EXAMPLE - (OLD ORDER NUMBER : 0934533)
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