Laravel - Register

Register Account

Scan your IC

Optical Character Recognition (OCR) will scan the document to prefill form.

* Full Name:

* Identification Type:

* Date of Birth: You must be at least 18 years old to register.

* IC Number:

* Passport:

* Gender:

* Address:

* Phone Number:

* Nationality:

* Religion:

* Marital Status:

* Occupation:

* E-mail:

* Password:

* Confirm Password:

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I have read and agree to the Terms and Conditions

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