Vendor Registration Form

Registration - Vendor

Company Details

Company Registration Forms

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Company Bank Information

MDA Documents

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Maximum file size: 5MB

Please upload only JPG / PNG / PDF documents. Max upload size is 5MB with a max of 2 files.

Account Information (Liaison Person)

This email will be used to register an account with us.
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This password will be used to login to your account.
Please type in your password again.
EbizMedic Sdn Bhd
Level 18, Menara Lien Hoe,
No. 8 Persiaran Tropicana,
47410 Petaling Jaya, Selangor.
WA : +6010-339 4556
Payment Method
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