Travel Agency Tour Guide Transportation

COMPANY DETAILS
Company Name*
Year Established*
Company Address
Office Telephone Number*
Fax
Company Email*
Person In Charge*
PIC No*
Mobile Phone Number*
Designation*
Email*
TYPE OF BUSINESS/PRODUCTS/SELLING PRICE/BRANDS
(PLEASE ENCLOSE BUSINESS CARD & PRODUCTS BROCHURE IF ANY)
Domestic
Inbound
Outbound
Ticketing
Transportation
Others

Consent


I/We hereby confirm that the above information given are true and correct. I further agree and give consent to Gembox Berhad, GD Pavilion Sdn. Bhd. and/or its subsidiary companies within GD Holdings to collect, obtain, store and process my personal data provided in this form.
Saya / Kami dengan ini mengesahkan bahawa maklumat seperti di atas adalah benar. Saya bersetuju untuk membenarkan Gembox Berhad, GD Pavilion Sdn. Bhd. dan / atau anak-anak syarikat dalam GD Holdings untuk mengumpul, menyimpan dan memproses data peribadi saya seperti yang diberikan dalam borang ini.
我/我们在此确认上述资料真实无误。我同意Gembox Berhad, GD Pavilion Sdn. Bhd及/或GD Holdings的子公司收集、存儲和處理本表格中所提供的個人資料。

Submitted

Name
Designation*
Mobile Phone Number*
Date
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SSM For Limited liability, Partnership, Sole Proprietor, Enterprises and Partnership


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