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Set Up Your Membership Account
The fields marked with * are mandatory.
If you need any assistance, please contact us at +603-7724 2070 (9am to 8pm), fax us at +603-7724 1811 or email us at customercare@eremit.com.my
Steps:   1 Registration   2 Confirm   3 Submit
Setup Your Membership Account
Email Address [as Login ID] : *
    Your email address will be used as login ID for your e-remit account.You will be receiving important notice from us via email.Therefore please use an active email id (e.g: devidjoe@gmail.com)
Alternate Email Address :
Create Password : *
   
Retype Password : *
    Your password must be a minimum of 8 characters with the combination of alpha-numeric and one symbol.
(e.g: user123$^ )
Tell Us About Yourself
Last Name : *
First Name : *
Middle Name :
Gender : *
Date Of Birth : * You must be at least 18 years to use this service.
    Your Date of Birth will be required for verification in the event you have forgotten your password.
Residential Status : *
Nationality : *
Telephone Number :  e.g: 603 77278606
Mobile Phone : *   e.g: 6013 2878606
Fax No :  e.g: 603 77278606
Current Residential Address : *
   
 
City : *
State : *
Postcode : *
Country : *
Your NRIC Details
Old NRIC Number :
New NRIC Number : - - *
Your Passport Details
Passport No : *
Passport Expiry Date : *
Visa Expiry Date : *
Your Occupation Details
Occupation :   *  
Job Title : *
Company Name : * 
Company Address : *
 
 
City : *
State : *
Postcode : *
Office number  : * e.g: 603 77278606
Country : *
Additional Information
How did you hear about us? : *
Please specify the introducer's membership number : *
   
Average Monthly Salary : *
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