Application For Jus Lega Agent
Sign in to Google to save your progress. Learn more
Full Name *
As in NRIC
NRIC Number *
Mobile Number *
Email Address *
Mailing Address *
Facebook Fanpage Address
Please put NA (not applicable) if you do not have any FB page.
Shop Name and Address
Please put NA (not applicable) if you do not have any shop.
1. SuChi Halal Avenue reserves the right to accept and reject an application without any prejudice and without giving any reasons.
2. SuChi Halal Avenue will revert to Agent on its decision within 3 weeks or earlier via an official email.
3. Once your application is approved you will need to sign an agreement document.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.