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Sponsor Information

Member Code *
Nama

Placement Information (For R4+ Pairing Plan)

Member Code
Name
Position
Left Right

Important:Sponsor Information and Placement Information cannot be changed once your registration is submitted. Your Placement Information will be generated for you by the system should you not provide them.

Personal Information

Nationality*
Rank *
ID Type *
ID No. *
Name (As shown in ID) *
Alias (English)
Birth Date *
Gender *
Pria Wanita
Marital Status *
Preferred Language

Contact Information

Address *
 
 
 
Postal Code
Country
State *
City *
 
Tel (Home)
+ - -
Tel (Office)
+ - -
Mobile No.
+ - -
Email *
Preferred Mode of Contact *

Spouse Information (Compulsory if your spouse is a member of BWL)

Name
Mobile No.
+ - -

Beneficiary Information

Name
Relationship
Mobile No.
+ - -


Communication Method

I wish to receive BWL marketing/promotion information via
Email
SMS
Voice Call