Desince Reseller Registration
Full Name (as per IC) *
Gender *
Birth Date *
MM
/
DD
/
YYYY
Contact Number *
Note: Contact number must be same with the one registered in desince.net
Email Address *
Note: Email address must be same with the one registered in desince.net
Your Selling Platform *
Your Store Name *
This will be the sender name of the parcel shipped to your customer.
Your Store Contact Number *
This will be the sender phone number of the parcel shipped to your customer.
I hereby declare that the information provided is true and correct. *
Required
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