Application for Nik$ Scheme
Name as in NRIC (Note that registered name should be the same appeared in invoice) :
NRIC/FIN Number :
Gender :
Male
Female
Contact No :
Address:
Postal Code
Email:
Receipt Number : (Click on the link to find receipt number.)
Retail Shop
/
Clinic
I consent to the
terms & conditions
of the Nik$ scheme and to the collections, use and disclosure of my personal information in accordance with the scheme.
I do not wish to receive any marketing information.
I would like to receive marketing information about the goods and services provided by Niks Professional via:
email
text message
telephone call
Submit →
Thank you for your application! Do look out for your confirmation email.
Error
Sorry there was an error sending your form.