pre-registration

Step 01

Your Details

Tell us who we should contact regarding your application.

Your Name *

Phone Number *

E-mail

Preferred Contact Method *

Phone Email

Select Your Company Type *

Motorcycle Dealer Agent Others

Are you an MMSDA Member? *

Yes No

Step 02

Dealer Status

Select your dealer status.

Are you a new or existing Rider Gate Registered Dealer? *

I am a New Dealer I am an Existing Dealer

Step 03

Company Details

Complete your company information.

No. of Branches per Region

Northern Region (Perlis, Kedah, Penang, Perak)

Central Region (Selangor, Kuala Lumpur, Putrajaya, Negeri Sembilan)

Southern Region (Melaka, Johor)

East Malaysia (Sabah, Sarawak, Labuan)

Total No. of Branches

Company / Shareholder Information

Name *

NRIC No. *

Email *

Bank Account Information

Bank Name *

Account No. *

Name of Account Holder *

Copy of Bank Statement * ↑ Drag file here or click to upload PDF, JPG or PNG · Max 5MB

PIC Information

PIC Full Name (as per IC/Passport) *

NRIC/Passport Number *

PIC Contact Number *

PIC Email

By clicking “Submit”, you acknowledge and accept Rider Gate Sdn Bhd’s Terms of Use and Privacy Policy. By clicking “Submit”, you agree to provide us with additional documents if requested.

Step 04

Service Requirements

Tell us about the biometric equipment required by your company.

Please indicate the Biometric Thumbprint Devices available at your company. *

IDEMIA MSO1350v2 IDEMIA MSO1350v3 IDEMIA MSO1350E3 IDEMIA MSO1350E4 None of the above

Estimated Number of Biometric Thumbprint Devices Required *

Step 05

Questions and Comments

Add any questions, comments or additional information you would like us to know.

Questions and Comments

Step 06

Review Your Application

Review your information before submitting. You can still go back and make changes.

I confirm that the information provided is accurate to the best of my knowledge.

Your Details

Dealer Status

Company Details

Company Information

No. of Branches per Region

Company / Shareholder Information

Bank Account Information

PIC Information

Existing Dealer Information

No. of Branches per Region

Service Requirements

Questions and Comments

Review Your Application

Application submitted successfully!