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Name as per ic / company registered name
ID NUMBER
front ic image
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BACK IC IMAGE
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MOBILE PHONE NUMBER
EMAIL ADDRESS
tenancy agreement
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Please upload tenancy agreement

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PROMO CODE (IF ANY)

REFERRAL CODE (IF ANY)
Payment Details
PAYMENT REFERENCE NUMBER:
BC250701050702000516
PROCESSING FEE:
RM30.00
PROMO DISCOUNT:
-(RM)
TO PAY:
RM
BANK:

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“I fully understand and agree to the Terms & Conditions of Direct Debit services. Please contact BlueDuck at support@blueduck.my for further details.”
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