e-Registration

Member Type *

Name

NRIC/Passport

Nationality

Date Of Birth

Marital Status

Other Number

HP.Number

Mother Maiden Name

Gender

Passport Expiry

Race

Referee username

Address 1

Address 2

Tick if same as above

Country

State

City

Postal Code

Required to Snap Front Side

Required to Snap Back Side

Required to Upload Selfie

Username

Tick if existing MiPay user

Password

Key in MiPay 16-digit card number

Confirm Password

Key in MiPay 11-digit CPI Number

Tick if you need Remittance

*Compulsory if you are foreign worker

Occupation *

Passport Issuing Country *

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