eTRACC Register

Personal Information

First Name

Middle Name

Last Name

Role

Freight Type:

Email Address

Password

Confirm Password

Please enter a strong password

Characteristics of strong password:

1. At least 10 characters

2. A mixture of both uppercase and lowercase letters

3. A mixture of letters and numbers

4. At least one special character, e.g., ~!@#$%^&*()_

Billing /Finance Information

Contact Person

Landline No.

Mobile No.

Position

Select	Broker Name	Company Name

Destination Type

Select	Type	Origin	Destination

Not in List? Please add Company and Destination Address

Destination Type

Origin

Company Name

Contact Number

Address

Manually added destination

Select	TypeID	Type	Origin Code	Origin	Company	Address	Contact No

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