Order Form

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Full Name *

Name as per NRIC

Mobile Phone Number *

Company Name

Company Registration Number

License Number(if applicable)

Business Address

Email *

Website Address

Nature of Business

Business description, products and services etc

Tyoe of Service

Listing Application in Platform

PusatPelancongan.com

Remarks

State details of services need example Name of Platform. domain name registration, website services, update services

Agreement Email Number

Declaration & Agreement *

I confirm that the information provided in this Order Form is true, accurate, and complete to the best of my knowledge. I agree to comply with all operational rules, policies, terms, and conditions of DIY Business System and all selected platforms/services. By ticking this checkbox and submitting this Order Form, I fully acknowledge and accept all applicable terms, conditions, and responsibilities related to this order.

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