BLESS e-Registration

Nationality

MALAYSIAN CITIZEN

PERMANENT RESIDENT

NON MALAYSIAN CITIZEN

Citizenship

User ID

MyKad No. (e.g. 791014145061) MyPR No. (e.g. 791014145061)

Password

Confirm Password

Name

As Per Mykad As Per MyPR As Per Passport

Date of Birth

Race

Gender

Address

As Per Mykad As Per MyPR As Per Passport

Postcode

State

City

Country

Security Question

Answer

Captcha

I hereby declare that the above updated information provided is true and accurate. I have read the