Installment / Monthly Payment Package Application-iLiWax

Installment / Monthly Payment Package Application

To sign up for installment/monthly payments, we require more details for verification and processing via Pocket. Please complete the form below.

First name

Last name (Without bin/binti)

Gender

Birthdate

Address

Nationality

Phone Number

Please select package(s) of your choice:

Face

Full-Face Package

Sideburn Package

Nape Package

Nose Package

Upper Lip

Upper Body

Underarm

Back

Chest

Half-Arm

Full-Arm

Intimate

Hollywood for HER

Hollywood for HIM

Bikini

Backside (Inner)

Backside (Cheeks)

Perfecting Mask Treatment

Soothing Mask Treatment

Lower Body

Half-Leg

Full-Leg

Full-Body

Full-Body Waxing consists of Underarm, Chest, Back, Full-Arm, Hollywood, Backside (Cheeks) & Full-Leg.

Full-Body for HER

Full-Body for HIM

Please ensure the details on your valid Brunei Identity Card are up-to-date, and with clear images.

Brunei Identity Card Number

Brunei Identity Card Expiry Date

Clear Image of Brunei Identity Card (Front)

Clear Image of Brunei Identity Card (Back)

I, the person named with the submitted ID within this form, certify that all the information provided above is accurate and true.