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rapid Travel Cards rapid Preferred APPLICATION FORM
Name:
I/C No:
*
Gender:
Date Of Birth:
Address:
Phone:
Mobile:
Fax No:
Email:
In case of an emergency, please contact:
Contact No:
Relationship:
Fields marked with * are compulsory
Please ensure you have the following documents for your application: • 2 copies of your latest photograph (passport-sized) • 1 copy of your I.C. / birth certificate
Please submit the above documents to our Penang Headquarters at Lorong Kulit or at the Weld Quay Terminal. Click here for our operating hours.
TERMS: rapid Preferred is applicable to everyone and is subject to terms and conditions.
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