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Jom! Live with Vitality Registration
Jom! Live with Vitality Registration
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Don’t miss your chance to join our wellness day at the park! Limited to
200
pax only on a first-come-first-served basis.
Register now
for
FREE!
Full name as per NRIC / Passport
*
Required Field
NRIC / Passport Number
Nric/Passport number is invalid
*
Required Field
Nationality
Nationality is required
*
Required Field
Email address
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*
Required Field
Mobile Number
Please select
Phone
Invalid phone number
*
Required Field
I am an AIA
Employee
Life Planner
Customer
None of the above
Please select
*
Required Field
Agent code
Tee shirt size (Sizing chart)
S
M
L
XL
Please select your shirt size
*
Required Field
You may also register a maximum of two (2) participants aged 17 and below to attend JOM! LIVE WITH VITALITY with you on 11 June 2022.
Fill in the details below if you are interested:
Child 1
Full name as per NRIC / Passport
*
Required Field
NRIC / Passport Number
NRIC/Passport number is invalid
*
Required Field
Nationality
Nationality is required
*
Required Field
Age
11 months old and below
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
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17 years old
Please select
*
Required Field
Child 2
Full name as per NRIC / Passport
*
Required Field
NRIC / Passport Number
NRIC/Passport number is invalid
*
Required Field
Nationality
Nationality is required
*
Required Field
Age
11 months old and below
1 year old
2 years old
3 years old
4 years old
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
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13 years old
14 years old
15 years old
16 years old
17 years old
Please select
*
Required Field
I confirm that I am 18 years old an above, and I have read, understood and accept the
Terms & Conditions
of this Event. I agree that any personal information collected or held by AIA Malaysia may be disclosed by AIA Malaysia to its selected (Note. Please refer to AIA Malaysia Privacy Notice @
http://www.aia.com./en/index/privacy-statement.html
for further details)
I agree and consent to my personal information or details being processed and used by AIA Malaysia for the purpose of marketing and publicity notification/information for its product.
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