Card No.
*
Given Name
*
Family Name
*
NRIC
(Last 4 Characters)
*
Date Of Birth
*
DATE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
MONTH
January
February
March
April
May
June
July
August
September
October
November
December
YEAR
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
Email Address
Mobile No.
My contact and/or email has changed. Please tick the checkbox for BPDS to update the new contact number or email address in the system.
Yes! I agree to receiving from Shell general and personalised (based on my purchase history and use of any Shell websites or apps) offers, promotional, marketing and other publicity information relating to products and services offered by Shell, its affiliates and/ or third parties Shell may collaborate with, from time to time.
