Retail Land Application for PETRONAS Station
Current
Personal Particulars
Company Particulars (If Applicable)
Land Particulars
Complete
Application Type
Land Proposal for PETRONAS Station
Application for Conversion to PETRONAS Station
Name as per Identity Card
Identity Card No
Please enter a valid IC No, e.g., 800101021234
Gender
Male
Female
Race
Malay
Chinese
Indian
Others
Mobile Phone No
Email
Address
City
State/Province
- Select -
Federal Territory of Kuala Lumpur
Federal Territory of Labuan
Federal Territory of Putrajaya
Johor
Kedah
Kelantan
Malacca
Negeri Sembilan
Pahang
Perak
Perlis
Penang
Sabah
Sarawak
Selangor
Terengganu
Postcode
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