Email*

Email*

First Name

First Name

Last Name

Last Name

Business/Trade Name*

Business/Trade Name*

https://kelokal.com/store/[your_business]

Address 1*

Address 1*

Address 2

Address 2

Country*

Country*-Select a location-Malaysia

City/Town

City/Town

State/County

State/County

Postcode/Zip*

Postcode/Zip*

Store Phone*

Store Phone*

IC Number*

IC Number*

Identity Card Image (Front)*

Identity Card Image (Front)*

Identity Card Image (Back)*

Identity Card Image (Back)*

SSM Certified True Copy

SSM Certified True Copy

Password*

Password*

Confirm Password*

Confirm Password*

* By registering for a seller account, you agree to be bound by the  Seller Agreement