Owner & Vehicle Information

Owner ID/IC No.	:	781010154567 / A1234567
Owner Category	:	Please select 1 - Citizen of Malaysia 2 - Police 3 - Army 4 - Company/Organisation 5 - Government 6 - Statutory Body 9 - Non Malaysia Citizen 0 - Permenent Resident of Malaysia
Owner's Name	:
Contact No.	:	0123456789
Vehicle Registration No.	:	ABC1234
Renewal Period	:	Please select 6 Months 12 Months
Trans_User_ID	:

Delivery Address	:
	:
Postcode	:	State : Please Select JOHOR KEDAH KELANTAN MELAKA N. SEMBILAN PAHANG P. PINANG PERAK PERLIS SELANGOR TERENGGANU SABAH SARAWAK W.PERSEKUTUAN
Owner IC No.	:
Owner Tel. No.	:	(Mob)   (Res)
E-Mail	:

Name Of Bank	:	Please Select Bank Kerjasama Rakyat Berhad Arab-Malaysian Bank Berhad Bank Simpanan Nasional Alliance Bank Berhad Standard Charted Bank Berhad CitiBank RHB Bank Berhad Duetsche Bank (Malaysia) Berhad HSBC Bank Berhad EON Bank Berhad Hong Leong Bank Berhad United Overseas Bank Malayan Banking Berhad OCBC Bank Affin Bank Berhad Public Bank Berhad CIMB Bank Berhad Bank Muamalt Malaysia Berhad Commerce Terjari Bank Berhad Bank Islam Malaysia Berhad The Royal Bank of Scotland(RBS)
Account Number	:
Owner IC No.	:
Owner Tel. No.	:	(Mob)   (Res)
E-Mail	:

Keyword:

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DELIVERY ADDRESS	:
	:
	:
POSTCODE	:
CITY	:
STATE	:	Please Select JOHOR KEDAH KELANTAN MELAKA N. SEMBILAN PAHANG P. PINANG PERAK PERLIS SELANGOR TERENGGANU SABAH SARAWAK W.PERSEKUTUAN W.P.LABUAN W.P.PUTRAJAYA
*Additional Info: Below details are essential for us to send the Renewal Slip directly to the correspondence on user's preferred time.
DELIVERY TIME	:	Please Select 09:00 AM 10:00 AM 11:00 AM 12:00 PM 01:00 PM 02:00 PM 03:00 PM 04:00 PM - Please Select 10:00 AM 11:00 AM 12:00 PM 01:00 PM 02:00 PM 03:00 PM 04:00 PM 05:00 PM 09:00 AM - 05:00 PM

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