← Back to S. KLAS SDN. BHD.
AGENT DASHBOARD
Registration form
Agent code
Company name
SSM
Agent name
Insurance company
-- select --
ACE JERNEH
AIG MALAYSIA
ALLIANZ INSURANCE
AMG GENERAL INSURANCE
AXA AFFIN GENERAL INSURANCE BHD
CHUBB INSURANCE MALAYSIA BERHAD
ETIQA TAKAFUL
GREAT EASTERN
KURNIA INSURANCE BERHAD
LIBERTY INSURANCE
LONPAC INSURANCE
MAA TAKAFUL
MPI GENERALI
MSIG INSURANCE BERHAD
OAC ASSURANCE MALAYSIA BHD
PACIFIC INSURANCE
RHB INSURANCE
TAKAFUL IKHLAS
TAKAFUL MALAYSIA
TOKIO MARINE
ZURICH INSURANCE
ZURICH TAKAFUL INSURANCE BHD
You can select multiple choices.
IC No.
Address 1
Address 2
Postcode
City
State
Phone
Fax
Date of birth
Race
-- select --
Malay
Chinese
Indian
Others
Bank name
-- select --
Affin Bank
Al Rajhi Bank Malaysia
Alliance Bank
Ambank
Bank Islam Malaysia
Bank Muamalat
Bank Negara Malaysia
Bank of Nova Scotia
Bank Pertanian Malaysia
Bank Rakyat
Bank Simpanan Nasional
CIMB Bank
CIMB Islamic
Citibank
EON Bank
EXIM Bank
Hong Leong Bank
HSBC
Maybank
OCBC Bank
Public Bank
RHB Bank
Standard Chartered
United Overseas Bank (UOB)
Account holder name
Bank account type
Personal
Company
Bank account No.
Login Details
Email
* Used for reset password
Username
* Used for login
Password
Confirm Password
Submit