Transporters (Taxi/E-hailing/etc) click here to apply. SAFETRAC Sales Agent Application All interested agents/distributors are required to fill up SAFETRAC Agent Application form below. Agents are required to stamp and sign in the specified fields, and pass to our authorized business representatives. Commission will be recorded and paid to registered agents only. IMPORTANT: Agents shall enter Agent ID (Username or MYKAD number) for both online and walk-in guest bookings.Company Details / Info SyarikatBusiness Name / Nama BisnisBusiness Address / Alamat BisnisState / NegeriZIP / Postal CodeCountry / Negara AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweBusiness Phone / Nombor Telefon *Company WebsiteBusiness Nature / Jenis BisnisHotels & AccommodationsTravel AgentCorporate Sales AgentAirline, Transport & ShippingInternet & E-CommerceOthersAgent TypeStandardExclusiveExclusive agents can only sell COVID-19 services for SAFETRAC only and entitle to additional sales bonus.Person in Charge DetailsFull Name / Nama Penuh *NRIC / MYKAD *This number is your default Agent ID / Ini adalah Agen ID anda sedia-ada.Email AddressMobile No. *AGENT ID (Username) *Maximum 8 characters. Enter your preferred Username. Both Username or your Registered ID are valid AGENT ID for booking purposes.0 / 8AccreditationYour past and current business accreditationsLicense nameLicense NoUpload DocumentChoose FileNo file chosenDelete uploaded fileAssociation #1Association ID #1Upload DocumentChoose FileNo file chosenDelete uploaded fileAssociation #2Association ID #2Upload DocumentChoose FileNo file chosenDelete uploaded fileTerms & Conditions Agents are allowed to sell stand-alone Health Screening Services such as COVID-19 PCR and Antigen Swab Test, and other Safe Entry Hotel (SEH) Certified hotels, transports, and travel insurance. Standard Agents shall pay all services in advance online through TRACVIRUS system or SafeTravelPass Malaysia system, both accessible on https://safetracescape.com; or walk-in to any of our Panel Health Centers (Clinics) or SAFETRAC Lounge & Wellness Centers. Exclusive Agents payment terms are subject to credit review on case to case basis, available to selective Tourism Authority and Business Association members only (i.e. Langkawi Tourism Association). Standard Agents are not exclusive and shall entitle to standard 3%-10% sales commission as per latest Rate Card; Exclusive Agents are binding to 12 months contract autorenewal every 12 months, under 6 month moratorium for non-competition, and non-disclosure clause, and shall entitle to extra 2% bonus on all sales. Agents are allowed to display "TRACVIRUS" authorised dealer bunting, logo and promotional material, purchase from our authorised business representatives or support centers. I have read and understand the SAFETRAC Agent Program Terms & Conditions, and further acknowledged that TRACVIRUS and SafeTravelPass Malaysia are integrated as part of Government of Malaysia TracAPM QS Management System authorised to book, verify, and facilitate payment collect collection under Business to Business arrangement for all Safe Entry Hotels and value-added services, and I shall comply strictly to Government QS Standard Operating Procedure (SOP) at all time. I authorised TRACVIRUS and SafeTravelPass Malaysia to facilitate my application as an Agent.By submitting the application form, I am giving my consent to the processing of personal data by the Organization Associate Partners Laboratories Sdn Bhd to join the SAFETRAC Agent Program.Submit RegistrationPlease do not fill in this field.