e-Data & Data Provider Registration Form

Account Registration Application

USER CATEGORY

User Category * :

User Type * :

ACCOUNT INFORMATION

Full Name * :

Email * :

*This email will be used for verification

IC No. * :

*This IC No. will be used as your user ID

Existing Company? * :

Yes

Company Name * :

Position * :

Company's Registration Number / SSM * :

Company / Office Address * :

Postal Code * :

State * :

Town * :

Mobile No. * :

Office No. :

DATA PROVIDER PROJECT DETAILS

State * :

District * :

Local Authority * :

Project Name and Address (Remark) * :

**Please state the project or building name managed with information details of state, district, mukim/town and project start date

PROJECT DETAILS

Notes: To make changes, please remove the current project's details.

No	State	District	Local Authority	Project Name and Address(Remark)	Action
No records found.