I / WE* confirm that the information declared with this application is true and accurate and that any other relevant information has not been withheld. Any attempt to mislead or supply false information to Cell Tissue Technology Sdn Bhd will result in the application being rejected.
I / WE* agree that Cell Tissue Technology Sdn Bhd acknowledge and consent to the collection, use and/or disclosure of my personal data by the company (Cell Tissue Technology Sdn Bhd) for the purpose of processing this application.
I / WE* hereby certify that the above information complete and correct to the best of my/our knowledge and belief: