Personal Details
Please fill in your details accordingly. (*) denoted mandatory field.
Full Name *
New IC No *
Gender * MaleFemale
Mobile No* 0100110111012013014015016017018019
Email *
Test Drive Showroom (State) * JohorKedahKelantanLabuanMelakaNegeri SembilanPahangPerakPulau PinangPerlisSabahSarawakSelangorTerengganuWilayah Persekutuan
Test Drive Showroom* Select ShowroomNM Supreme Sdn Bhd (Muar)ETCM Batu PahatETCM Johor JayaSimpson Tan Auto Sdn Bhd (Danga Bay, JB)W.E Motor Sdn Bhd (Taman Mount Austin, JB)Kulai Public Motor Sdn Bhd (Kulaijaya)Sincere Scope Sdn Bhd (Bukit Indah, JB)Da Kim Auto Sdn Bhd (Kluang)
Test Drive Showroom* Select ShowroomETCM LangkawiETCM Alor SetarETCM Sg. PetaniETCM Kulim
Test Drive Showroom* Select ShowroomETCM Kota BharuETCM Tanah MerahEdaran Nuri Sdn Bhd (Pasir Tumboh, Kota Bharu)
Test Drive Showroom* Select ShowroomETCM Labuan
Test Drive Showroom* Select ShowroomETCM SemabokSK Jidosha Sdn Bhd
Test Drive Showroom* Select ShowroomETCM SerembanETCM Nilai
Test Drive Showroom* Select ShowroomETCM KuantanMultiway Auto Sdn Bhd (Temerloh)
Test Drive Showroom* Select ShowroomETCM IpohETCM SitiawanETCM Teluk IntanETCM TaipingNikaijaya Resource Sdn Bhd (Jalan Kampar, Ipoh)
Test Drive Showroom* Select ShowroomETCM ButterworthETCM Nibong TebalETCM PenangETCM Bayan Lepas
Test Drive Showroom* Select ShowroomETCM Kangar
Test Drive Showroom* Select ShowroomETCM Kota KinabaluETCM SandakanETCM LabuanOTS Motor Sdn Bhd (Tawau)OTS Motor Sdn Bhd (Penampang, Kota Kinabalu)OTS Motor Sdn Bhd (Lahad Datu)
Test Drive Showroom* Select ShowroomETCM KuchingETCM BintuluETCM MiriNgu Brothers Motor Service Sdn Bhd (Sibu)
Test Drive Showroom* Select ShowroomETCM Sg. Rasah KlangETCM GlenmarieETCM PuchongETCM Petaling Jaya (Seksyen 13)ETCM Mahkota CherasETCM Serdang RayaETCM RawangAuto Dunia Sdn Bhd (Batu Caves)Nikaijaya Resource (KL) Sdn Bhd (Bandar Utama, PJ)Evo Mobility Sdn Bhd (Cyberjaya)
Test Drive Showroom* Select ShowroomETCM Kuala Terengganu
Test Drive Showroom* Select ShowroomETCM OUGETCM Jalan Raja LautETCM KepongETCM Melati UtamaETCM Pandan Indah
Test Drive Model * New Nissan SerenaNew Nissan NavaraAll-New Nissan AlmeraNissan X-TrailNissan Leaf
Test Drive Date *
SA Name *
By submitting this form, I agree to all the Terms and Conditions to receive the reward.
I hereby acknowledge and confirm receipt of the PDPA Notice and consent of processing my personal data in accordance with said notice.
Yes, I agree for ETCM to disclose, share and process my personal data with your group of companies and business partners for the purposes of promoting their products and services.
SUBMIT
I want to test drive the
New Nissan SerenaNew Nissan NavaraAll-New Nissan AlmeraNissan X-TrailNissan Leaf
The company will contact you back to facilitate the appointment for a test drive
CONTACT DETAILS
Name *
Mobile No *
TEST DRIVE DETAILS
Your Location * JohorKedahKelantanLabuanMelakaNegeri SembilanPahangPerakPulau PinangPerlisSabahSarawakSelangorTerengganuWilayah Persekutuan
Preferred Showroom * Select ShowroomNM Supreme Sdn Bhd (Muar)ETCM Batu PahatETCM Johor JayaSimpson Tan Auto Sdn Bhd (Danga Bay, JB)W.E Motor Sdn Bhd (Taman Mount Austin, JB)Kulai Public Motor Sdn Bhd (Kulaijaya)Sincere Scope Sdn Bhd (Bukit Indah, JB)Da Kim Auto Sdn Bhd (Kluang)
Preferred Showroom * Select ShowroomETCM LangkawiETCM Alor SetarETCM Sg. PetaniPengangkutan Sedar Sdn Bhd (Kulim)
Preferred Showroom * Select ShowroomETCM Kota BharuETCM Tanah MerahEdaran Nuri Sdn Bhd (Pasir Tumboh, Kota Bharu)
Preferred Showroom * Select ShowroomETCM Labuan
Preferred Showroom * Select ShowroomETCM SemabokSK Jidosha Sdn Bhd
Preferred Showroom * Select ShowroomETCM SerembanETCM Nilai
Preferred Showroom * Select ShowroomETCM KuantanMultiway Auto Sdn Bhd (Temerloh)
Preferred Showroom * Select ShowroomETCM IpohETCM SitiawanETCM Teluk IntanLofty World Sdn Bhd (Taiping)Nikaijaya Resource Sdn Bhd (Jalan Kampar, Ipoh)
Preferred Showroom * Select ShowroomETCM ButterworthETCM Nibong TebalETCM PenangETCM Bayan Lepas
Preferred Showroom * Select ShowroomETCM Kangar
Preferred Showroom * Select ShowroomETCM Kota KinabaluETCM SandakanETCM LabuanOTS Motor Sdn Bhd (Tawau)OTS Motor Sdn Bhd (Penampang, Kota Kinabalu)OTS Motor Sdn Bhd (Lahad Datu)
Preferred Showroom * Select ShowroomETCM KuchingETCM BintuluETCM MiriNgu Brothers Motor Service Sdn Bhd (Sibu)
Preferred Showroom * Select ShowroomETCM Sg. Rasah KlangETCM GlenmarieETCM PuchongETCM Petaling Jaya (Seksyen 13)ETCM Mahkota CherasETCM Serdang RayaETCM RawangAuto Dunia Sdn Bhd (Batu Caves)Nikaijaya Resource (KL) Sdn Bhd (Bandar Utama, PJ)Evo Mobility Sdn Bhd (Cyberjaya)
Preferred Showroom * Select ShowroomETCM Kuala Terengganu
Preferred Showroom * Select ShowroomETCM OUGETCM Jalan Raja LautETCM KepongETCM Melati UtamaETCM Pandan Indah
Yes. I want to test-drive the vehicle at the showroom.Yes. I want to test-drive the vehicle from my premises.
1. YOUR DREAM CAR Please select vehicle you are interested in.
Model* Select a ModelNew Nissan SerenaAll-New Nissan AlmeraNew Nissan NavaraNissan X-TrailNissan LeafNissan NV200 Additional Request (if any)
2. YOUR DETAILS We will need this in order to contact you.
Name*
Mobile No*
Email*
3. YOUR SHOWROOM Please select your preferred showroom.
Your Location* JohorKedahKelantanLabuanMelakaNegeri SembilanPahangPerakPulau PinangPerlisSabahSarawakSelangorTerengganuWilayah Persekutuan
Preferred Showroom* Select ShowroomNM Supreme Sdn Bhd (Muar)ETCM Batu PahatETCM Johor JayaSpeedway Motor Credit Sdn Bhd (Taman Sri Tebrau, JB)Simpson Tan Auto Sdn Bhd (Danga Bay, JB)W.E Motor Sdn Bhd (Taman Mount Austin, JB)Kulai Public Motor Sdn Bhd (Kulaijaya)Sincere Scope Sdn Bhd (Taman Tasek, JB)Da Kim Auto Sdn Bhd (Kluang)
Preferred Showroom* Select ShowroomETCM LangkawiETCM Alor SetarETCM Sg. PetaniPengangkutan Sedar Sdn Bhd (Kulim)
Preferred Showroom* Select ShowroomETCM Kota BharuETCM Tanah MerahEdaran Nuri Sdn Bhd (Pasir Tumboh, Kota Bharu)
Preferred Showroom* Select ShowroomETCM Labuan
Preferred Showroom* Select ShowroomETCM SemabokSK Jidosha Sdn Bhd
Preferred Showroom* Select ShowroomETCM SerembanETCM Nilai
Preferred Showroom* Select ShowroomETCM KuantanMultiway Auto Sdn Bhd (Temerloh)
Preferred Showroom* Select ShowroomETCM IpohETCM SitiawanETCM Teluk IntanETCM TaipingNikaijaya Resource Sdn Bhd (Jalan Kampar, Ipoh)
Preferred Showroom* Select ShowroomETCM ButterworthETCM Nibong TebalETCM PenangETCM Bayan Lepas
Preferred Showroom* Select ShowroomETCM Kangar
Preferred Showroom* Select ShowroomETCM Kota KinabaluETCM SandakanOTS Motor Sdn Bhd (Tawau)OTS Motor Sdn Bhd (Penampang, Kota Kinabalu)OTS Motor Sdn Bhd (Lahad Datu)
Preferred Showroom* Select ShowroomETCM KuchingETCM BintuluETCM MiriNgu Brothers Motor Service Sdn Bhd (Sibu)
Preferred Showroom* Select ShowroomETCM Sg. Rasah KlangETCM GlenmarieETCM PuchongETCM Petaling Jaya (Seksyen 13)ETCM Mahkota CherasETCM Serdang JayaETCM RawangAuto Dunia Sdn Bhd (Batu Caves)Nikaijaya Resource (KL) Sdn Bhd (Bandar Utama, PJ)Evo Mobility Sdn Bhd (Cyberjaya)
Preferred Showroom* Select ShowroomETCM Kuala Terengganu
Preferred Showroom* Select ShowroomETCM OUGETCM Jalan Raja LautETCM KepongETCM Melati UtamaETCM Pandan Indah
Yes, I agree for ETCM to disclose, share and process my personal data with your group of companies and business partners for the purposes of promoting their products and services. SUBMIT
