}

Create a Merchant Account

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  • The information collected in the Merchant Application Form is for internal use and by authorised MOL personnel only.
  • Complete all the fields correctly and submit only once.
  • IMPORTANT NOTICE: Failure to submit any of the listed documents / information may result in a significant delay in the processing of your application.
  • Email us at bd@mol.com if you have any questions regarding the Merchant Application Form.

Merchant Company Information

* Required

*

Example: MOL Global Pte. Ltd.

*

Example: 504959-U

*

Example: 31/12/2015

*

Example: +603 8888 8888

Example: +603 8888 8889

*

Company Name, 5322 Otter Lane, Middleberge FL 32068

Documents like agreement will be couried to this mailing address (Same as above? Leave blank)

*

Example: Jane Smith, Business Development Executive

*

Example: yourname@gmail.com

Example: Jane Smith, Business Development Executive

Example: yourname@gmail.com

*

Example: Product/service/brand name known to users

*

Example: http://www.mol.com

Example: http://yourcompanyname.com