Mailing List Form
Please complete the form and send it to us.
Name :
NRIC :
Date of Birth :
Date Of Application :
Race :
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Malay
Chinese
Others
Sex :
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Male
Female
Mailing Address :
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Tel (Home) :
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Income :
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< RM2,000
RM2,001 - RM4,000
RM4,001 - RM6,000
RM6,001 - RM10,000
> RM10,000
Profession :
Pendants
Earrings
Bracelets
Bangles
Evening Wear
Rings
Couple Rings
Wedding Rings
