(Your official Identification Number (ID) recognized by your country. This ID number could be your Passport, Federal ID, Social Security or Social Insurance number.)
Citizenship
Date of Birth ( DD/MM/YYYY )
Cosway Sales Center Code
Cosway Membership ID
Corporate Applicant
Company Name
Company Registration No
Country of Incorporation
Country of Operation
Correspondence Address
Zip / Postcode
City / Town
State / Province
Country
Phone Numbers 1 and 2 will be displayed on the 'List of eCenters' page(business owners and shoppers can call you at these numbers.). If you do not want to disclose a particular phone number, please fill in Phone No. 3.(the company will be able to call you at this number when necessary, but Business Owners and Shoppers will not have access to this number.)
Phone No. 1
-
Phone No. 2
-
Phone No. 3
-
Fax No.
-
Email Address
Option to be listed on Directory of eCenter (please choose one)
I agree to have my particulars hosted on the Company Website.
I do not wish to have my particulars hosted on the Company Website and I will give a written notice immediately to the Company.
By clicking the "I Agree" button below and submitting this eCenter Operator Agreement, I apply to become an eCenter Operator. I certify that I am of legal age (the age of majority) for the country, state, province, or territory in which I reside. I understand that any intentional misrepresentation of any information I provide on this eCenter Operator Application may result in action by eCosway, up to and including termination of this Agreement. I expressly and affirmatively state and represent that I have had the opportunity to review, and have actually reviewed the eCenter Operator Agreement in its entirety. I further understand and agree that by selecting or clicking on 'I Agree', I will be bound by and will adhere to the Terms and Conditions in the eCenter Operator Agreement. I understand that I have the right to terminate the eCenter Operator Agreement by serving seven (7) working days notice, with or without reason. I agree that such termination must be in writing.
I understand that the Company reserves the right to approve or reject my application without assigning any reason thereto.
Step 4
: If your details are typed correctly, click 'Confirm'. If not, click 'Edit' to make amendments.
eCenter Application Confirmation
Individual Applicant
Name as in Identification Card
Paul
Tan Wee Min
New Identification Card No.
701011-10-3226
Citizenship
Malaysia
Date of Birth
( DD/MM/YYYY )
11/10/1970
Cosway Sales Center Code
1234
Cosway Membership ID
X567890
Correspondence Address
No
15, Jalan Besar
SS14/2
Zip / Postcode
35300
City / Town
Subang
Jaya
State / Province
Selangor
Country
Malaysia
Phone No. 1
03-7335678
Phone No. 2
03-7323567
Phone No. 3
016-3237680
Fax No.
03-7323569
Email Address
paultan@hotmail.com
Bank Account No.
5142711130315
Bank Name
Maybank
Bhd
Branch
Damansara
Utama
Click 'Confirm' if the details are correct. If not, click 'Edit' to make amendments.