Please fill in the required info, we will assist on submit to Exsim Group.
Customer details:
Full Name as IC (required)
Email Address (required)
Contact Number (required)
Unit number (required)
Bank in RM 100: Himpunan Kencana Sdn. Bhd. (1126183-U) UOB: 225-302-3327
Payment Slip (required)
Customer IC (front) (required)
Customer IC (back) (required)
Served by: Agent name (required)
Agent Contact number (required)
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