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Apply to become Agent
Agent (Individual/Company)
Individual
Company
Name
Company Name (Optional)
Person in charge
Nationality
Country of Residence
Are you a foreigner staying in Malaysia?
Yes
No
Visa Type
Independent
Expatriate
Student
Other
Visa Expiry Date
When was the latest/last date of arrival into Malaysia?
Corresponding Address
IC No. / Passport No. / Company No.
Mobile Number
Phone Number
Email
Bank Account Number
Bank Name
Bank Account Swift Code
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Password Comfirmation
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& Visa page
Please Upload Company Document & passport/ IC
& Visa page
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Apply to become Agent Agent
Agent (Individual/Company)
Name
Company Name (Optional)
Person in charge
Nationality
Country of Residence
Are you a foreigner staying in Malaysia?
Visa Type
Visa Expiry Date
When was the latest/last date of arrival into Malaysia?
Corresponding Address
IC No. / Passport No. / Company No.
Mobile Number
Phone Number
Email
Bank Account Number
Bank Name
Bank Account Swift Code
I /We hereby had read and agreed to the
terms and conditions
stipulated in the student recruitment agent agreement and the university has a right to revise or change the terms and condition from time to time.
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