Account Details

Please fill in at least ONE (1) of the account numbers.

Member Profile Details

*Name as stated in IC

Contact Details

List of Emergency Contact(s)*

Please fill in a minimum of one (1) direct family member.
In the event that an individual is not an e-Amanah portal user, they can instead inform TAP through other available contact means.
Name* ID Number* Phone* E-mail* Relationship* Action

List of Nominees

Name Relationship with Member Nominee Type Nomination Status Action

Bank Account Details of Member/Employee

Login Details

Upload Document(s)*

Please attach scan of Identification Card (Maximum file size 5 MB)
Document Type Document Action