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:: MyEG eServices - Individual Registration Form ::

  Please enter the personal information:.
 
* First Name:
 
* Last Name:
 
* User ID: (6 to 10 characters)
 

 
* Password: (6 to 10 characters)
 
* Confirm password:
  Please key in your e-mail address here. We will use this e-mail address to send you an activation link for activating your MyEG account and for other service notifications.
 
* Email address:
 
* Confirm Email address:
 

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.

  * What is your mother's maiden name?
  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.
 
* Gender:
Male Female
 
* NRIC / Army / Police:
  NRIC[MyKad] Army/Police
    Ex: 810208145832
  Passport No: (Non-Malaysians Only) Ex: 123456 / A123456
 
* Date of Birth:
[DD-MM-YYYY]
 
* Address:
 
City:
 
*State (for Malaysia only):
 
*Country:
 
*Zip / Postal code:
 

Daytime Phone No: (e.g: 0312345678)

 
Mobile No: (e.g: 0121234567)
 
Fax No: (e.g: 0312345678)
       
  *All information gathered here is privy to MyEG and used exclusively to help us customize our services for you.
 
Marital Status:
Single Married Divorced Widowed
Occupation:
Industry:
  * Required Fields.    
       
           
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