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::
ID Selection
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Please
select your personal User ID & Password here. |
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User
ID: (6
to 10 characters)
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Password:
(6 to 10 characters)
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Confirm password:
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:: Our Contact with You
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Please key in your e-mail address here. We will use this e-mail address
as a confirmation of your registration with us and our main contact
with you for payments, receipts and other service notifications.
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Email address:
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We will use your e-mail address and the answer to the following question
to help us verify your identity if you forget your password.
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What is your mother's maiden name? |
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:: User Information
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The following information is used to validate your identity with Government
Agencies and other bodies we are collaborating with to bring you
e-Services. Please key in your personal information here.
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First Name:
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Last Name:
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Gender:
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Male
Female
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NRIC
/ IC no.:
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Ex:
810208145832 |
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Passport
No: (Non-Malaysians Only) |
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Ex:
123456 / A123456 |
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Date of Birth: (YYYY-MM-DD)
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-
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Address:
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City:
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*State (for Malaysia only):
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*Country:
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*Zip
/ Postal code:
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Daytime
Phone No: (e.g: 0312345678)
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Mobile
No: (e.g: 0121234567)
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Fax
No: (e.g: 0312345678)
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:: Help Us Serve You Better
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*All
information gathered here is privy to MyEG and used exclusively
to help us customize our services for you. |
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Marital
Status:
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Single
Married
Divorced
Widowed |
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Occupation:
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Industry:
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*
Required
Fields. |
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