[email protected] 603 2108 2883

User Registration

* Mandatory Field
 
Company's Name * :  
 
Note : If your company is not listed, please contact TNB Insurance Management Department at 03-2108 2883 or email to [email protected]
     
Please key in details of Person in charge :
Full Name (as per IC) * :  
IC Number * :  
Passport No :
Nationality * :  
Designation * :  
Email * :
Mobile Phone No. * :  
Office Phone No. * :  
Office Phone Ext. No. :  
Direct Line No. :  
Fax No. :  
PIC Appointed Letter  :  (.pdf, .jpg & .gif only)

* Max size file upload 1MB