Salutation
Name
NRIC
Correspondence Address
City
Postcode
State
Country
Contact No
Home
Mobile
Office
E-Mail
Marital Status

Single

Married

Race
Nationality
Profession:
Industry / Nature of Business

Entrepreneur

Employed

Project Preferred
NK Residences, North Kiara
Emerald Heights, Rawang
Panaroma, Kelaya Jaya
Future Projects
Property Preferred
Terrace Houses
Semi-Detached
Bungalows
Townhouse
Apartments
Condominiums
Shops/Office
household Income

Below RM5,000.00

RM5,001 - RM10,000

RM10,001 - RM13,000

RM13,001 - RM15,000

RM15,001 - RM20,000

Above RM20,000


I hereby confirm that I understand & accept your Private Policy and give consent to LOH & LOH Development Sdn Bhd and/or the subsidiary companies within LOH & LOH Group to collect my personal data provided in this form for the purpose of communicating to me your product and services.