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E-form

PETRONAS Lubricants Marketing Malaysia Sdn. Bhd (PLMM), a subsidiary of PETRONAS Dagangan Berhad requires you to provide your personal data (i.e. Full name, phone number and email address) for the purpose of PETRONAS AutoExpert Service & Win Contest prize fulfilment and future direct marketing. By completing and submitting this form, you as participant agree for PETRONAS Dagangan Berhad to use your personal data for abovementioned purposes in accordance with our Privacy Statement which can be found on MyMesra website at www.mymesra.com.my
Full Name (As per IC)
Phone Number (010XXXXXXX)
Email Address
Which PETRONAS AutoExpert workshop did you visit?

Is this your first time visit PETRONAS AutoExpert?

Compulsory

Upload receipt
Not more than 5MB

Optional

Upload service booking
Not more than 5MB

Please tick this box.

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Thank You

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