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AGENT SUBMISSION

Agent Detail

Agent Email Address

Preferred Installation Date?

Preferred Installation Time

Full Installation Address

Package

Applicant Details

Applicant IC & Passport Copy (Front)

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Max File Size 15MB

Other Document (Utility Bill)

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Applicant IC & Passport Copy (Back)

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Max File Size 15MB

Other Document

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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.

Agent Code & Promo Code

+60122248100

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