Remittance Request form

Instructions:

All information in this form must be filled up before submitting.
Please send the amount to be remitted to AGENSI PEKERJAAN TOGETHER SDN BHD, Public Bank Current Account 3191905320

Remittance Details

Destination ^*

Currency ^*

Amount (RM) ^*

Proof of Payment Upload ^*

Note :Max upload size 12 MB

Sender Details

Full Name ^*

Date Of Birth ^*

Phone number ^*

Residential Address ^*

Postal Code ^*

Nationality ^*

ID Type^*

ID Number^*

Relationship with Receiver^*

Receiver Details

Note: The fund Receiver must be minimum 18 years old.

Full Name ^*

Date Of Birth ^*

Phone number ^*

Residential Address ^*

Postal Code ^*

Bank Name^*

Bank Account Number^*

Bank Branch ^*

Bank Address ^*

Bank Postal Code ^*

Terms of Service

I understand that this remittance request may take up to 3 working days to process, and the rate of remittance shall be in accordance with the day in which the remittance is performed.

I hereby also declare that the information i provided herein is correct and accurate, and i will not hold AP Together responsible for any mispayments resulting from any inaccurate information in which I provided in this form.

I understand and agree to the Terms & Conditions.
I understand that a service fee of RM20 will be charged and deducted from the amount to be remitted.

Remittance Request Form

Instructions:

Remittance Details

Sender Details

Receiver Details