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#gorakyat (Introducer Form)
Thank you for your signing up as #GoRakyat Introducer and we are excited to have you on board! Kindly fill in this form and your Introducer Code will be confirmed via email.
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Full Name
*
Your answer
NRIC Number
*
Your answer
Mobile Number
*
Your answer
Email address
Your answer
Bank Account Name & Bank Account Number
e.g. Maybank ; 123456789
Your answer
Introducer Code (IC)
*
2 characters (alphabet only) example Anna Kim = AK. Do take note that prefix "X" is automatically added with your IC. You shall receive the confirmation IC via email or WhatsApp upon submission.
Your answer
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