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Payment Proof Submission
Company Name
*
Person-in-Charge
*
Email Address
*
Contact Number
*
Invoice No.
Proforma Invoice or Quotation Number accepted
Payment Details
Please provide your payment details here. Note: If you are applying for a new GS1 License, kindly share/upload your payment details in the respective application webforms.
Reason for Payment
*
Please select one:
Renewal - GTIN Membership License (Barcodes)
Renewal - GLN Membership License (Locations)
Renewal - VbG-PDSS Support Package (Member Data Management)
Membership Transfer or Change Name
Membership Reactivation or Reinstatement
GS1MY Service - Product Listing (Add Picture, 2nd Submission, etc.)
GS1MY Service - Barcode Generation (Number or Symbol)
GS1MY Service - Capacity Building & Business Consultation (Training)
Others not covered by the above
Payment Method
*
- Select -
Bank-in-Slip (Cheque / Cash Deposit)
JomPAY
Online Transfer
Standing Instruction
Remittance
Others
Others (please specify)
*
Amount
*
Bank-in-Date
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2020
2021
2022
2023
2024
2025
Attachment
*
Files must be less than
4 MB
.
Allowed file types:
gif jpg jpeg png bmp pdf doc docx xls xlsx zip
.
