Referral Agent Details
Name
*
Identification No.
*
MYKad/Passport Details
Phone Number
*
(Please provide us a number which is reachable on WhatsApp)
Email Address
*
Please put
Occupation
*
IC Front and Back (Colour)
*
Browse Files
Drag and drop files here
Choose a file
Both sides of valid passport or national ID card. Accepted file formats: jpg, png and pdf. File cannot exceed 10MB.
Cancel
of
Back
Next
Company Details
Company Name
*
As per registered in SSM
Company Registration No.
*
As per registered in SSM
Tax Identification Number
*
As issued by LHDN including letters and numbers (e.g., SG 12345678901)
Business Address
*
Type of Business
*
Please Select
Berhad
Partnership
Sdn Bhd
Sole Proprietorship
Others
Full Set of SSM
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Director's IC Front and Back (Colour)
*
Browse Files
Drag and drop files here
Choose a file
Both sides of valid passport or national ID card. Accepted file formats: jpg, png and pdf. File cannot exceed 10MB.
Cancel
of
Bank Account Details
Bank Name
*
Please Select
Affin Bank
Agrobank
Alliance Bank Malaysia Berhad
Al-Rajhi Malaysia
AmBank
Bank Islam Malaysia
Bank Muamalat Malaysia Berhad
Bank Rakyat
Bank Simpanan Nasional (BSN)
CIMB CLICKS
Citibank Malaysia
Co-op Bank Pertama
Hong Leong Bank
HSBC Bank Malaysia
Maybank
MBSB Bank Berhad
OCBC Bank Malaysia
Public Bank Berhad
RHB Bank
Standard Chartered Bank Malaysia
UOB Malaysia
Others
Bank Account Number
*
Bank Account Header
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Bank Name
*
Please Select
Affin Bank
Agrobank
Alliance Bank Malaysia Berhad
Al-Rajhi Malaysia
AmBank
Bank Islam Malaysia
Bank Muamalat Malaysia Berhad
Bank Rakyat
Bank Simpanan Nasional (BSN)
CIMB CLICKS
Citibank Malaysia
Co-op Bank Pertama
Hong Leong Bank
HSBC Bank Malaysia
Maybank
MBSB Bank Berhad
OCBC Bank Malaysia
Public Bank Berhad
RHB Bank
Standard Chartered Bank Malaysia
UOB Malaysia
Others
Bank Account No.
*
Bank Account Holder Name
*
Occupation
*
Please Select
Employed
Freelance
Agency
E-Wallet
*
Please Select
Touch N'Go E-Wallet
Grabpay
T&G Account Number
*
Payment Method
*
Please Select
Bank Transfer
E-Wallet
Crypto
Phone Number
*
Wallet Address
*
Crypto
*
Please Select
Bitcoin
Ethereum
Submit
Should be Empty: