Home Recruitment Enquiry

Registration Form

Field marked * must be completed.

Title:
Full name as in NRIC: *
Name to appear on card: *
Handphone: *
House Phone:
Office Phone:
Email: *
NRIC: *
Gender:
Date of Birth: *	/ / DD/MM/YYYY
Nationality:
Marital Status:
Race: *
Religion: *
Home Address: *
Correspondence Address:

Gross household income:
Nature of Occupation:
Number of household member(s):
Prefered collection centre to collect your card:	Jalan Ipoh SS2 Puchong Jalan Sg. Besi Miri Kota Kinabalu

Have you made any purchase from ALFO?If yes, please tick showroom(s):	Jalan Ipoh SS2 Puchong Jalan Sg. Besi Miri Kota Kinabalu