B40 Registration Form

Peer Details

Title

First Name

Last Name

NRIC / Passport No.

Age

Date of Birth

Gender

Male

Female

Nationality

Race

Religion

Profession

Income (RM)

Contact Details

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Mobile No.

Marital / Relationship Status

Single

Married

Divorced

Widowed

Documents Needed to be Submitted

Please upload a copy of your Identity Card / Passport

Upload

Are you...

Employed

Unemployed

Full-time Student

Employed

3 Months Latest Pay Slip (self & spouse) / Annual Income Tax (self & spouse)

Upload

Unemployed

3 Months Latest Bank Statement

Upload

Official Letter of Unemployment (Certified by Government Officers or Group Statutory Bodies A and B / Village Headman, Officers in the Legal and Judicial Services such as Magistrates/ Lawyers)

Upload

Full-time Student

Student Confirmation Letter

Upload

Guardian 1 Pay Slip (If your guardian is unemployed, please provide us their official of unemployement letter)

Upload

Total Household Income (RM)

Employed Pay Slip

Upload

Guardian 2 Pay Slip (If your guardian is unemployed, please provide us their official of unemployement letter)

Upload

I hereby certify that the above information is true and correct.

Yes

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Yes

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Date / Time