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Agent Application Form
Select Nature of Business *
Retail Outlets
Laundry Shop
Convenient Store
Utilities
Others
Do you own a physical store? :
Yes
No
Select State *
Johor
Kedah
Kelantan
Kuala Lumpur
Labuan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Putrajaya
Sabah
Sarawak
Selangor
Terengganu
Why you joining us ? *
Earning Extra Income
Provided Additional Services
Increase Foot Traffics to your Shop
Others
** File size limit to 500kb
Upload Interior Shop :
Upload Exterior Shop :
Upload Counter Area :
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