Agents Online Preview & Application

Authorised Agent
Application Form

FULL NAME (AS PER NRIC)

NRIC

BILLING ADDRESS

CONTACT NUMBER

BANK NAME

BANK ACCOUNT NUMBER

ACCOUNT HOLDER NAME

Terms & Conditions

I have read, understood and hereby accept all the Terms & Conditions.

IC PHOTOCOPY (FRONT)

IC PHOTOCOPY (BACK)

Upload Payment SLIP

All payments shall be made payable to

VICTORY FARM AT ROOFTOP SDN BHD

MAYBANK

Once payment done, kindly upload payslip together with all needed documents requested above and click “SUBMIT” to proceed.