Public Registration

Registration Form - Member Information

Member Information

Registration Type

Member Company

Registration Flow

Registration with Purchase

Registration Code

NRIC No. *

- e.g. L200100388 (Please avoid spacing, dash and other special characters.)

Date of Birth

Gender *

Male Female

Date Join
(dd-MM-yyyy)

19-08-2022

Username *

Password *

New Password must has 8 characters or above which contains at least a digit, and a upper and lower case character.

Confirm Password *

Confirm Password must be same as password.

Member Name *

Nationality *

Mobile Tel. No. *

E-Mail Address *

Confirm Email *

Billing Address

Street *

City *

Postcode *

State/District *

Country *

Delivery Address

Street *

City *

Postcode *

State/District *

Country *

Direct Deposit Information

Payee Name

Payee NRIC

Bank Name

Account No.

Swift Code

Bank Branch No

Branch Name

Public Registration

Registration Form - Member Information

Sponsor Information

Registration Form - Member Information

Member Information

Billing Address

Delivery Address

Direct Deposit Information