96 Software Sdn Bhd

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+60 12-899 7132

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96 Software Sdn Bhd
Access Cover Renewal Cash Back Promotion Form

A-06-06, Block A, Sunway GEO, Jalan Lagoon Selatan, Bandar Sunway, 47500 Subang Jaya, Selangor

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+60 12-899 7132
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Your Information

Name

Phone number

Product Information

Company Name

MyAppID

License Expiry Date (DD/MM/YYYY)

Access UBS Products

Access UBS Evo

Additional Users

Any additional Inquiries?

Proof Of Purchase

Do Provide us with a proof of your purchase for us to check your eligibility for this promotion .

Invoice No.

Cheque No./Bank Transfer Reference No.

Your Bank Details

Money will be transferred directly into your nominated bank account. (BANK ACCOUNT NAME SHOULD BE THE SAME AS COMPANY NAME (LICENSEE NAME). NO PERSONAL BANK ACCOUNT NAME)

Account name:

Account number/ IBAN:

Bank Name:

Bank Address:

SWIFT/BIC Code:

I understand the *Terms and Conditions for the 96 Software Sdn Bhd Access UBS Cover Renewal Cashback Promotion.

Terms and Conditions

I acknowledge that all information provided is accurate and complete. Understand that any inaccuracies will result in ineligibility for cashback.

96 Software Sdn Bhd Access Cover Renewal Cash Back Promotion Form