Fill and submit the form below to register your product for online warranty purposes. Customer Registration for Malaysia only. Complete this form correctly and submit within 14 days from the date of purchase.
Personal Information
Name: *    
New IC No: * Passport No:  (Foreigner)
Date of Birth: *
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Gender:
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Address: *  
City: *  
Postal Code: *  
State:
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Telephone No - Home: *  
Office/Mobile No:  
Email: *  
     
Product Information
Serial No: *  
Product Brand:
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Product Category:
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Product Sub-Category:
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Product:
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Model Name:  
Date of Purchase: *
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DEALER CODE:  
Purchase from establishment:
Address:
 
City:  
Postal Code:  
State:
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Telephone No:  
Email:  
     
By checking the box, I certify that I have read, understand, and agree to the terms & conditions set forth in this Kinsmedic product warranty registration terms and conditions document.