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Member Registration

Please complete the Registration details at the left and click on the Complete Registration button at the bottom.

NRIC No*   - - ( eg : 850323015167 )
Passport No*   ( eg : A18671546 )
Either one
must be
inserted
Your Name*
 
Basic Details  
Date of Birth
Gender
Marital Status
Nationality
Handphone No*   - ( eg : 016 - 7123456 )
    We will be contacting you via your mobile phone number in 1-2 working days in order to further validate your information.
Email*   ( eg : name@penawargroup.com )
   
* Your email will be used as your login username.
* A new password will be sent directly to your email address once
your identity has been validated.We will SMS to you too.
* Email is only limited to penawargroup.com and hospitalpenawar.com domains only.
Home Address  
City
Postcode
State
Country
Phone No
Human-user Verfication*  

Reload Image
    Please retype the above letter combination
Terms of use  
  I hereby agree with Terms of Use and declare that all the details above are true and will be fully responsible of the consequences should any information is found to be untruthful.