Register Account

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MEMBER INFO

* REGISTRATION DATE:	(YYYY/MM/DD)
* SPONSOR NAME:
* SPONSOR DISTRIBUTOR CODE:
* DISTRIBUTOR TYPE:

* APPLICANT NAME:
* EXECUTIVE NAME:
* COMPANY NAME:
* COMPANY ROC:
* COMPANY SETUP DATE:
* WORK PERMIT NO/PASSPORT NO:
* SOCIAL INSURANCE NO / DRIVER'S LICENSE NO:
* DATE OF BIRTH:
* GENDER:
* E-MAIL:
FAX:
EDUCATION:
PROFESSION:
Note : Your application name must be same/tally with Social Insurance Card/Driver's license's name.
Note : Your application name must be same/tally with ROC name.
Note : Your application name must be same/tally with Passport/Work Permit name.

CONTACT DETAIL

* TELEPHONE:
* MOBILE NO:
* ADDRESS:
* ZIP CODE/POSTAL CODE: Input full details: e.g. L3R5Y4
* COUNTRY CODE:
* PROVINCE / STATE:

COMPANY DETAIL

* COMPANY TELEPHONE:
* COMPANY FAX:
* COMPANY ADDRESS:
* ZIP CODE/POSTAL CODE: Input full details: e.g. L3R5Y4
* COMPANY COUNTRY CODE:
* COMPANY PROVINCE / STATE:

BANK DETAIL

BANK NAME:
BANK BRANCH:
ACCOUNT NO:
ACCOUNT NAME:
Note : Your application may reject if account name not match with applicant name.

UPLOAD DETAIL (Note : only accept file format jpeg, jpg, gif, bmp and png)

* UPLOAD SOCIAL INSURANCE NO / DRIVER'S LICENSE(FRONT COVER):
* UPLOAD SOCIAL INSURANCE NO / DRIVER'S LICENSE (BACK COVER):
* UPLOAD WORK PERMIT/PASSPORT (FRONT COVER) :
* UPLOAD WORK PERMIT/PASSPORT (BACK COVER) :
UPLOAD (BANK ACC.) :
* UPLOAD (Company ROC) :
(Attachment with photo like social insurance card, driver's license etc..)
(Attachment with photo like ROC, social insurance card, driver's license etc..)
(Attachment with photo like passport, work permit etc..)

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