CONTEST

Almond Koka

ENGLISH | BAHASA MALAYSIA

To participate, please fill in the form below with your details. *Please ensure that all information provided is correct. Dutch Lady® Milk Industries Berhad will not be responsible or liable for any inaccuracies or incompleteness of the information submitted.

Fill Up The Details

Parent’s/Guardian’s Name *

Parent's/Guardian's MyKad Number*

Parent's/Guardian's Contact Number *

Email Address: *

Child's Age *

What is your child's current milk brand?

Which Dutch Lady Growing Up Milk Formulation for Children are you interested on?

Unique Code *

Date of Birth: *

Relationship with Child: *

A clear picture of the Proof of Purchase/Receipt(s) *

PLEASE KEEP YOUR ORIGINAL PRINTED RECEIPT AS PROOF.
Only one (1) photo with one (1) receipt is allowed (JPG, PNG, JPEG, PDF, Max 5MB).

View Online Receipt Sample

View Offline Receipt Sample

I agree to the **Terms & Conditions.

I have read, understood and agreed to this campaign Terms & Conditions and that this form must be completed in full and submitted with a clear and legible receipt for me to be eligible for this campaign.
I confirm that I am a Malaysian citizen aged 18 years and above.
I have read and understood Dutch Lady® Milk Industries Berhad Privacy Policy.

Consent To Use Personal Data: I consent to Dutch Lady Milk Industries Berhad collecting, using and processing my personal data in accordance with the Dutch Lady Milk Industries Berhad Privacy Policy (https://www.dutchlady.com.my/privacy-policy/) for the purposes of administering and managing this campaign, including verification of entries, winner selection and fulfilment of prizes.

I consent to Dutch Lady Milk Industries Berhad collecting, using and disclosing my personal data to send me marketing and promotional communications, conduct surveys, data analysis and product development and deliver advertising (including retargeting) via email, telephone and digital platforms.