Rockwills Estate Planner

Step 2 : Please fill in the form

Please provide the required (*) information.

Personal Particulars
Spoken
 
Written
 
Contact Information
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Employment Information
Academic Information
Declaration
    Yourself Spouse
1. Have you ever been declared bankrupt? *
2. Have you ever been convicted of a criminal offence? *
3. Are you or your spouse an existing or former Franchisee / Rockwills Estate Planner / Employee of Rockwills? *
4. Are you an existing or former estate planner / agent / will writer of another estate planning company? *
5. Are you a director / shareholder of a business / company that also holds a Rockwills franchise license? *
6. Are you connected as an immediate family member to any director or senior management of Rockwills International Berhad or any of its subsidiaries? *
Franchise Information

Important :

1. The documents except passport size photograph can be uploaded using file type (.pdf, .png, .gif, .jpeg, .doc, .jpg, .docx, .zip).
2. The passport size photograph can only be accepted as picture format (.png, .gif, .jpeg, .jpg).

Payment methods (Online transfer/Credit card)
Online Transfer
Please make payment by online transfer to bank account of Rockwills Corporation Sdn Bhd :

MAYBANK Account No. : 5141 6942 7001
CIMB Account No. : 800 2325 790
PUBLIC BANK Account No. : 3139 1858 35
Credit Card
Please fill in the credit card form for payment by credit card or Easy Payment Plan.

Download Credit Card Form

*Please upload the bank transaction slip or credit card form in Proof of Payment below.

1. *
2. *
3.
4. *
**REP fees : RM 1500.00
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