Agent Submission I Time Internet I real TIME Machine

AGENT SUBMISSION

Agent Detail

Agent Email Address

Prefered Installation Date?

Full Installation Address

Your Block

Floor Number:

Unit Number

Applicant Detail

Applicant IC & Passport Copy (Front)

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Max File Size 15MB (Pdf)

Company Registered Document (Form 9 ,13, Seksyen 17, 28]

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Max File Size 15MB (Pdf)

Applicant IC & Passport Copy (Back)

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Max File Size 15MB (Pdf)

Credit or Debit Card (Front Only)

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Max File Size 15MB (Pdf)

Visa (For Foreigner Applicant)

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Max File Size 15MB

*To get faster approval rate

By clicking the Agree & Submit Button below, I have agree that,

1. I have declared all the information given is correct.

2. I have attached clear IC/Passport.