Skip to the content
Agent Registration Form
Bank
*
United Overseas Bank
Standard Chartered Bank
RHB Bank Berhad
Public Bank Berhad
OCBC Bank Malaysia Berhad
Malayan Banking Berhad
Kuwait Finance House (Malaysia) Berhad
HSBC Bank Malaysia Berhad
Hong Leong Bank Berhad
CIMB Bank Berhad
Bank Simpanan Nasional
Bank Kerjasama Rakyat Malaysia Berhad
Bank Muamalat Malaysia Berhad
Bank Islam Malaysia Berhad
AmBank Malaysia Berhad
Alliance Bank Malaysia Berhad
Affin Bank Berhad
Account Number
*
Company Name
*
Business Registration Number
*
Contact Person
*
First Name
Last Name
Telephone Number
*
Email
*
Address
*
Postcode
*
City
*
State
*
Johor
Kedah
Kelantan
Labuan
Melaka
Negeri Sembilan
Pahang
Pulau Pinang
Perak
Perlis
Sabah
Sarawak
Selangor
Terengganu
Putrajaya
Kuala Lummpur
Δ
Web Impian Sdn. Bhd. (920163-H)