e-form - Bangkitkan Derumanmu 2023

E-form

Petronas Dagangan Berhad requires you to provide your personal data (i.e., fullname, phone number, identification number and email address) for the purpose of PETRONAS Sprinta Bangkitkan Derumanmu MotoGP Explore Race 2023 Contest. By participating in this contest and by providing your personal data, you as participant hereby agrees and provides consent to PETRONAS Lubricants Marketing (Malaysia) Sdn Bhd (PLMMSB) which is a subsidiary of PETRONAS Dagangan Berhad (PDB) to collect, process, use, disclose and keep the participant’s personal data in accordance with Personal Data Notice for Customers issued pursuant to the Personal Data Protection Act 2010 and can be found on our website.

Full Name (As per IC)

Identification Card Number (90XXXX-XX-XXXX)

Phone Number (010XXXXXXX)

Email Address

Where did you purchase PETRONAS Sprinta?

PETRONAS Authorize Workshop
PETRONAS Station
PETRONAS Official Shopee
PETRONAS Shop Setel

Name of the Mechanic or PETRONAS Crew

Name of Workshop or PETRONAS station

Answer the question below:

What is the colour of the PETRONAS Sprinta logo

Black and Red
Red and White
Green and Red

Send Receipt

Upload receipt

Not more than 5MB

I agree to the Terms and Conditions of this contest and consent to the processing of my personal data in accordance with PETRONAS Privacy Policy.

Please tick this box.

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Your entry has been submitted!

*Note: Please screenshot this page to save your filled form for your records.

If you have any questions or need assistance, feel free to reach out to us.

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You can only submit one entry!

Resit Peraduan

Kod

AA001

Nama :

xxx xxx xxx

No. Kad Pengenalan :

xxxxxx-xx-xxxx

No Telefon :

xxx-xxxxxxx