Registration
NAME (As Per NRIC) * :
NEW NRIC or PASSPORT NUMBER * : 781212121212 OWNER CATEGORY * :
OLD NRIC NUMBER : A12345678 E-mail * :
VEHICLE NUMBER 1 * : ABC1234 LKM (ROAD TAX) EXPIRY MONTH 1 * :
VEHICLE NUMBER 2 : LKM (ROAD TAX) EXPIRY MONTH 2 :
VEHICLE NUMBER 3 : LKM (ROAD TAX) EXPIRY MONTH 3 :
VEHICLE NUMBER 4 : LKM (ROAD TAX) EXPIRY MONTH 4 :
VEHICLE NUMBER 5 : LKM (ROAD TAX) EXPIRY MONTH 5 :
CONTACT NUMBER * :

(Mobile - 0121234567)    (Office - 0312345678)  

 

(House - 0312345678)

(*) Denotes mandatory fields, details must be keyed in.