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Personal or Company Details

Name / Company Name

Id Type

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Id Number

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Nationality

Occupation

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Company/University Name

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Marital Status

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With Malaysia Online Banking?

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Contact Details

Mobile Phone Number

+6

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Email Address

Preferred Name

Current Address

Postcode

State

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Emergency Contact

Name

Contact Number

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Relationship

Package

Tenant Profile Type

Renting Type

Key in your rental budget for your desired house

Key in your rental budget for your desired room

Key in your rental budget for your desired commercial rental

Period (Year Eg: 1 = 1 Year)

Move In Date (Approximately)

How many person moving in with you

Do you have a favourite pet moving in?

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Commercial Type

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Nature of Business

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Business or Director is an Allianz Malaysia customer

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Policy Number

Do you have a promo code?

Referral Code (Optional)

Agent Details

Agent Name

Agent Contact Number

+6

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Payment Details

Payment Reference Number

BT220816063243000367

Tenant Profiling

RM

Renting RM p.a., 1 year

RM

6% SST

RM

STAMP DUTY

RM

Promo Price

-(RM)

Total Price

RM

Payer Bank

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