GoFlexi • Pelan 24 ~ 36 Bulan
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Affiliate Agent Details
Agent Mobile Number / Agent Company Name
Device Details
Phone Model
Eg. Apple iPhone 17 Pro Max / MacBook / iPad / Samsung Galaxy Fold 7
Storage
128GB / 256GB / 512GB / 1TB / 2TB
Tenure
12 Bulan / 24 Bulan / 36 Bulan
Deposit Sudah Disediakan ?
*
Select
Belum
Sudah
Jumlah Deposit Sudah Disediakan ?
RM 299/ 399 / 499 / 599 / 699 / 799 / 899 / 999
Applicant Information
Name of Applicant
*
Full Name
NRIC
Mobile Nombor
*
Please enter a valid phone number.
Email of Applicant
*
example@example.com
Address of Applicant
*
Emergency Contact
*
Sibling
Parent
Relative
Friend
Spouse
Relationship
First Name
Contact No.:
Stay With You ? Yes/No
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Documents Upload
NRIC MyKad - Front
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NRIC MyKad - Back
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NRIC MyKad + Selfie
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Latest Payslip (1st Month)
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Latest Payslip (2nd Month)
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Bank Statement (1st Month)
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Bank Statement (2nd Month)
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Bill Utilities
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