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Daftar Ahli Shaklee
Masukkan maklumat anda dalam ruangan yang diberikan. Bank in ke akaun Maybank no: 158024926915 atas nama Fauziah Ali sebanyak RM80.00 untuk semenanjung dan RM90.00 bagi Sabah dan Sarawak. Emelkan atau/dan sms nama anda, tarikh dan masa bank in ke nombor: 0125598904 atau/dan emailkan ke:
fauziah123aaaa@gmail.com
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1.
Nombor kad pengenalan baru anda.
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2.
Nombor kad pengenalan lama anda.
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3.
Maklumat gelaran atau title anda seperti Pn, Cik, Encik, Dato' dan lain-lain.
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4.
Nama pilihan atau preferred name anda.
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5.
Nama penuh anda atau full name anda.
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6.
Jantina anda atau gender anda.
Lelaki / male
Perempuan / female
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7.
Tarikh lahir anda atau birth date anda.
MM
/
DD
/
YYYY
8.
Status anda sama ada bujang/single atau berkahwin/married.
bujang/single
berkahwin/married
Other:
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9.
Jika berkahwin/married berikan nama pasangan anda.
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10.
Nombor kad pengenalan baru dan kad pengenalan lama pasangan anda.
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11.
Alamat tetap anda
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12.
Alamat surat menyurat/correspondence address anda.
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13.
Alamat penghantaran/shipping address anda.
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14.
Bangsa anda.
Melayu
Cina
India
Other:
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15.
Bank anda (digalakkan menggunakan Malayan Banking atau Maybank Islamic)
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MALAYAN BANKING BERHAD
AFFIN BANK BERHAD
AFFIN ISLAMIC BANK BERHAD
AGRO BANK (pka BANK PERTANIAN MALAYSIA BERHAD)
AL RAJHI BANK (M) BERHAD
ALLIANCE BANK MALAYSIA BERHAD
ALLIANCE ISLAMIC BANK
AM ISLAMIC BANK BERHAD
AMBANK BERHAD
BANK ISLAM MALAYSIA BERHAD
BANK KERJASAMA RAKYAT BERHAD
BANK MUAMALAT MALAYSIA BERHAD
BANK OF AMERICA MALAYSIA BERHAD
BANK OF TOKYO MITSUBISHI (MALAYSIA) BERHAD
BANK SIMPANAN NASIONAL
BNP PARIBAS MALAYSIA BHD
CIMB BANK BERHAD
CIMB ISLAMIC BANK BERHAD
CITIBANK BERHAD
DEUTSCHE BANK (M) BERHAD
HONG LEONG BANK BERHAD
HONG LEONG ISLAMIC BANK BERHAD
HSBC AMANAH MALAYSIA BERHAD
HSBC BANK MALAYSIA BERHAD
J P MORGAN CHASE BANK BERHAD
KUWAIT FINANCE HOUSE (M) BERHAD
MAYBANK ISLAMIC BERHAD
OCBC AL AMIN BANK BERHAD
OCBC BANK (MALAYSIA) BERHAD
PUBLIC BANK BERHAD
PUBLIC ISLAMIC BANK BERHAD
RHB BANK BERHAD
RHB ISLAMIC BANK BERHAD
STANDARD CHARTERED BANK (MALAYSIA) BERHAD
STANDARD CHARTERED SAADIQ BERHAD
SUMITOMO MITSUI BANKING CORPORATION MALAYSIA BHD
THE ROYAL BANK OF SCOTLAND BERHAD (pka ABN AMRO BHD)
UNITED OVERSEAS BANK (MALAYSIA) BERHAD
16.
Nombor akaun bank anda.
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17.
Email anda yang sah. Digalakkan menggunakan gmail.
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18.
Nombor telefon bimbit anda.
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