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Full Name*
(as per IC / Passport)
Type of Identification*
(NRIC example: 771017055181)
NRIC/Passport Upload*:
Max filesize (5MB), Only accepts JPG, PNG, GIF & PDF File
Nationality
Race*
Date of Birth*
(yyyy/mm/dd)
Email Address*
Reconfirm Email Address*
Contact*
+60
(Contact example: if your number is +60123456789, please fill in 123456789)
Alternative Contact*
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(Contact example: if your number is +60123456789, please fill in 123456789)
Top Up Amount * (MYR) Note: Select the value of your choice according to the top up amounts.
OKU Tick if is applicable:

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Delivery Address
Similar to permanent address
Response time: 0.93225502967834
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