NJOI Online Registration Form

NJOI Online Registration Form

Please fill up the form below with the necessary information and a Sales Representative will contact you within 5 working days.
Dealer Code (If Any)
To be filled by our agent/dealer only.
Full Name*

Title First NameLast Name
MyKad / Passport / ID No.*
Installation Address*

Unit No. and Street Address

Street Address Line 2

CityState / Province

PoskodCountry
Type Of Dwelling*

BungalowSemi-DTerraceCondo/ApartmentShophouseFlatHostel/Barracks/Staff Quarters
Applicant Phone Number*

Area CodePhone Number
Alternative Phone Number *

Area CodePhone Number
E-mail*
I give my consent to be contacted by email/phone. I hereby certify that all of the information that I have given in this electronic form is true and accurate and that I have read, understood and agreed to the terms of the "Privacy Policy", "Privacy Notice", and "Njoi Terms and Conditions" and consent to the processing of my Personal Data as described in the Privacy Notice.
Consent *

I have read and agree to the terms and conditions above.
Signature

Clear
NOTICE :
Email/Whatsapp/Telegram your NRIC/Passport to :

nirozcomm@gmail.com or Admin 6010-26 878 26
Should be Empty:

NOTICE :