Mystery Shopper Programme

Full Name (as per NRIC)

Gender

Male

Female

NRIC Number

- -

Age

Email Address

Correspondence Address

Home Telephone

Mobile Telephone

Occupation

Office Address

Office Telephone

Nearest Popular's Store (s)
to Residence/Workplace

Others

1. Kindly send all correspondence to my:

Home Address

Office Address

2. I have read, understand and agreed the terms and condition of the
Mystery Shopper Programme of POPULAR Book Co. (M) Sdn Bhd.

Yes

3. I consent Popular Group and its third parties to use & disclosed
my personal data for the purpose of mystery shopper application.

Yes

No*

* Your application will not be able to processed if you select Not To Use And Disclose Your Personal Data.

Fields marked * are mandatory

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