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Referral Claim Form
Thanks for taking part in this initiative! Please fill up this form as a final step and we'll get in touch asap. The cashback will be in within 14 days.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number (include Country Code)
*
Your answer
Are you a
*
Referrer (The one who invited others)
Referee (The one who was invited by others)
If you are a referee, who referred you? (Include full name and email)
*
Your answer
Name of bank (for Malaysians only)
*
Your answer
Bank account number (for Malaysians only)
*
Your answer
Paypal details
Your answer
Crypto wallet address details
Your answer
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