THE MODERN SHARIAH LEGACY ARCHITECTURE

Registration Form

Registration is on a first-come, first-served basis.

Exclusive Estate Planning Insights presented by
Dato' Nor Fazlina Mohd Ghouse,
Chief Executive Officer of Maybank Trustees

Each agent is allowed to SUBMIT ONCE only for this event.

Please ensure that all information provided is complete and accurate.

To register, fill up the details in the form below:

Agent Details:

Agent Full name as per NRIC / Passport*

Agent Preferred Name

Agent NRIC / Passport Number*

NRIC/Passport number is invalid

Agent Code*

Agent Email Address*

Email is invalid

Invalid phone number

Customer 1 Details:

Customer 1 Full Name as per NRIC / Passport*

Customer 1 NRIC / Passport*

NRIC/Passport number is invalid

Customer 1 Email Address*

Email is invalid

Invalid phone number

Customer 2 Details:

Customer 2 Full Name as per NRIC / Passport

Customer 2 NRIC / Passport

NRIC/Passport number is invalid

Customer 2 Email Address

Email is invalid

Invalid phone number

By ticking this box:

I agree that any personal information collected or held by AIA Malaysia is subject to the AIA Malaysia Privacy Statement.
I confirm that I have obtained the customers’ consent to the Privacy Statement for the purpose of this registration.
I understand there will be Commitment Fees of RM300 per pax upon registration.

Thank You!

Thank you for your registration and interest in this event “THE MODERN SHARIAH LEGACY ARCHITECTURE”. We will contact you and your guests via email if your registration is successful.