Registration

Self Registration Form

Personal Details * Person In Charge (PIC) *

Full Name *

IC/Passport *

Mobile No *

Email *

Account Type *

Company Name *

Company SSM *

TIN No *

Building / Site

Installation Address *

City *

State *

Postcode *

Billing Address *

Same as installation address

City *

State *

Postcode *

Interested *

Preferred Contact Day Time *

Day *

Weekday

Weekend

Anyday

Time *

From

Specific Date (optional)

Remark (optional)

Required Documents (IC,SSM (if required))

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