Help Net | Repairers / Workshops / Adjusters / Lawyers Registration

Help Net Consultancy Sdn. Bhd.

Online Workshop Management System & Network

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Workshop

Repairers / Workshops / Adjusters / Lawyers Registration Form

Registrant Info

Registrant Name *

Registrant NRIC/Passport *

Registrant Contact No *

Registrant Designation *

Registrant Email *

Company / Individual Registration Info

Company Type *

Company Full Name *

Company Short Name *

Adjuster Heading Name

Company BRN / IC *

PIAM NO

GST NO

GST Registered Date

Address 1 *

Address 2 *

Address 3 *

State *

Tel No *

Fax No

Top Up Credit Point (RM) **

Terms *

I have read and agreed to the terms of use.

* Required Fields.
** There is a FREE 500 credit point given for starting up. Please key in amount you would like to top up if more than 500 required. Otherwise, please key in '0.00' to top up at a later time.