Buy Now, Pay Later Program
Thank you for your interest to apply for this program! Please fill in this form for pre-assessment and we will get the relevant parties to contact you in 10 working days.

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Merchant Name (in Full as per IC/SSM) *
Merchant Type *
Business/Company ID (for Business Merchant Type)
NRIC No. (for Individual Merchant Type)
Business Address *
Owner's Mobile Number *
Email Address (Email used for Potboy registration) *
Owner's Name (in Full as per NRIC) *
Owner's NRIC *
Business Registration Date
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