Sign Up – Recarsia Sdn Bhd

Registration Form

Name

Contact Number

Email Address

Road Tax Number

Insurance Valid Date

Car Model

Vehicle Number

Car Year

Select a Plan

Car Replacement Service Breakdown Service Shuttle Service

Upload your NRIC

Upload your Car License

Upload your Car Image (Front)

Upload your Car Image (Side)

Upload your Car Image (Back)

Upload your Road Tax

Upload your Insurance Policy

Upload Payment Receipt

Upload Complete Agreement

Bank Details: MAYBANK
Recarsia Sdn Bhd | 562843556206

Recarsia Sdn Bhd is an emerging car assistance company in Malaysia dedicated to providing reliable, prompt and affordable car assistance services.