Customer Information For COVID 19 Screening

Let us know your details (Individual/Company's PIC) by filling in the form below.

Full Name :

Phone No :

Email Address :

Order Reference No


Amount (RM)


Total (RM)


Payment Mode :

If you choose Online Payment via Credit or Debit card, you will enter your card information in the next screen. If you choose other Payment Mode, we will verify your payment separately. To continue, please press the Proceed button below.
Important Note : While your payment is being processed by the bank, please do not close, refresh or pressing BACK button on your browser.