Custom Certificate Template Creation Order Form

Blockchain Certification Management Solution

Instructions for Custom Certificate Template Creation Order Form

Note: Please ensure all selections are accurate before submitting your order.

Attention! Please complete the form.

Required fields

PURCHASE DETAILS

Product	Quantity	Price (RM)
Certificate Template
TOTAL

Name

Confirm Email

Mobile Number

Address

Postcode

City

State

Country

Company / Institution Name

Company Registration Number

Company Website

Payment Method

Perbankan Internet / Mesin Deposit Tunai

Holder	CERTIIFY SOLUTIONS (M) SDN BHD
Acc. No.	557380434144

Confirmation

I confirm that all the information I have provided above is true and I will be fully responsible if any of the information is found to be false.

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