RBS Individual Member Application

Sponsor Member Code

REP Code (Optional, if you are REP)

Type of RBS Membership *

Are you an existing Rockwills Franchisee? *

Full Name as in NRIC *

NRIC / Passport No. *

Date of Birth *

Gender *

Marital Status *

Correspondence Address *

Contact Number *

Email *

Tax Identification No. (TIN) - for e-invoicing purpose *

Name of Bank Account Holder *

Bank Account Holder NRIC / Passport *

Name of Bank *

Type of Account *

Bank Account No. *

Bank Branch *

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Scan to pay

You may bank-in using the details above, or scan the QR code.

Payment Receipt (Image/PDF) *

Upload your bank-in/transfer receipt. Images or PDF accepted. This field is required.