Register Direct Debit / Daftar Direct Debit

Full Name / Nama Penuh

ID Number / Nombor ID

New IC No.Old IC No. Passport No.Business Reg. No.

Phone / Telefon

+6

E-mail / E-mel

Purpose of Payment / Tujuan Pembayaran Please select.. SUMBANGAN

Bank / Bank

Please select.. Affin BankAlliance BankAgro Bank AmBankCIMB Bank Bank Islam Bank Rakyat Bank Muamalat Bank of ChinaBSN Hong Leong Bank HSBC BankKFH Maybank2UMaybank2E OCBC BankPublic BankRHB BankStandard CharteredUOB Bank

I fully understand and agree to the Terms & Condition of Direct Debit services and I acknowledge that upon successful completion of this online application, RM 1.00 shall be debited from my selected account to ensure the said account is active for the purpose of application for this service. Please note that PERSATUAN ALUMNI UTEM (AUTEM) at its sole discretion may refund the RM 1.00 to its own Terms & Condition. Please contact PERSATUAN ALUMNI UTEM (AUTEM) for further detail.
Saya memahami dan bersetuju sepenuhnya dengan Terma & Syarat perkhidmatan Direct Debit dan saya mengakui bahawa setelah berjaya melengkapkan borang dalam talian ini, RM 1.00 akan didebitkan dari akaun terpilih saya untuk memastikan akaun tersebut adalah aktif bagi tujuan permohonan perkhidmatan ini. PERSATUAN ALUMNI UTEM (AUTEM) mengikut budi bicaranya boleh mengembalikan wang RM1.00 tertakluk kepada terma & syaratnya sendiri. Sila hubungi PERSATUAN ALUMNI UTEM (AUTEM) untuk maklumat lanjut.

Register Now / Daftar Sekarang