Home

 

Have you registered before?
Click here to find out if you are already a Dear Nestlé member.
Dear Nestlé Home >

Join the Family
* compulsory field
Invitation code

Title

 * Others 
Full name (as per IC) *
First Name * Example 
Middle Name

   Example
Family Name * Example
Gender * 
Race *
Your date of birth  *
Country of Origin *

New IC Number
(Malaysian)
-  -  

IC Number
(Police / Army)

Foreign IC / Passport Number
(Non-Malaysian)
Marital Status * Others
 
Your correspondence address   
Eg.
 Line 1 - 13 Taman Kurniaman
 Line 2 - Jalan Pasir Panas		 *
Town/City *
Postcode *
State *
Telephone
(area code + number)		 (H)
(O)
(H/P)
(Fax)
Email Address *
1. What is your monthly household income ? *
 
   
2. Which of the following food products does your household consume on a monthly basis? (Please tick all that apply)

   
3.. On average, how much do you spend on the food products selected above in a month? *
 
   
4. How many people are there in your household? *
 
   
5. Please indicate ages of your eldest and youngest children at home.
 
Eldest  
Youngest  
   
6. In which language should we keep in touch with you? *
 
First Preference
Second Preference
   
7. Which of the following stores do you frequent for food and grocery shopping?
(Tick as many as applicable)
 

Other grocery stores
   
8. How did you hear about the Dear Nestlé Programme application? *
   
   

Terms & Conditions

1. Applicants must be 18 years old and above
2. Limited to one applicant per household
3. Nestlé reserves the right to reject any application without assigning any reasons whatsoever.

 
 

  Nestlé Products Sdn Bhd (45229-H) Copyright 2008 | Home | Privacy Policy | Contact Us | Nestle.com.my
Dear Nestlé ~ Easy-to-do and practical tips to live well and eat well