New Account Application Form
Personal Details
*
indicates required fields
*
First Name
All withdrawals will be made to the same name
*
Last Name
*
Date of Birth
Day
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Month
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1
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( dd/mm/yyyy)
*
Gender
----------Select One----------
Male
Female
*
E-mail Address
Please provide an active email address to facilitate future payment related correspondences, eg withdrawals, bonuses.
*
Telephone Number
*
Mobile Number
Address Details
*
Address
*
Post / Postal / Zip
*
City
*
Country
----------Select One----------
China
)
Hong Kong
)
Indonesia
)
Thailand
)
Malaysia
)
Vietnam
)
Korea, South
)
Korea, North
)
Japan
)
Afghanistan
)
Albania
)
Algeria
)
American Samoa
)
Argentina
)
Armenia
)
Aruba
)
Australia
)
Austria
)
Azerbaijan
)
Bahamas
)
Bahrain
)
Bangladesh
)
Barbados
)
Belarus
)
Belgium
)
Belize
)
Benin
)
Bermuda
)
Bhutan
)
Bolivia
)
Bosnia and Herzegovina
)
Brazil
)
Brunei
)
Bulgaria
)
Cambodia
)
Cameroon
)
Canada
)
Chile
)
Colombia
)
Costa Rica
)
Croatia
)
Cyprus
)
Czech Republic
)
Denmark
)
Dominican Republic
)
Ecuador
)
Egypt
)
Estonia
)
Faroe Islands
)
Finland
)
France
)
French Guiana
)
Gabon
)
Georgia
)
Germany
)
Ghana
)
Gibraltar
)
Greece
)
Guam
)
Guatemala
)
Honduras
)
Hungary
)
Iceland
)
India
)
Iran
)
Iraq
)
Ireland
)
Israel
)
Italy
)
Jamaica
)
Jordan
)
Kuwait
)
Latvia
)
Lebanon
)
Luxembourg
)
Macau
)
Macedonia
)
Malawi
)
Mali
)
Malta
)
Mexico
)
Moldova
)
Monaco
)
Morocco
)
Nepal
)
Netherlands
)
Netherlands Antilles
)
New Zealand
)
Nigeria
)
Norway
)
Oman
)
Pakistan
)
Palau
)
Panama
)
Paraguay
)
Peru
)
Pitcairn Island
)
Poland
)
Portugal
)
Puerto Rico
)
Qatar
)
Romania
)
Russia
)
San Marino
)
Saudi Arabia
)
Senegal
)
Slovakia
)
Slovenia
)
South Africa
)
Spain
)
Sudan
)
Swaziland
)
Sweden
)
Tajikistan
)
Trinidad and Tobago
)
Tunisia
)
Turkey
)
Ukraine
)
United Arab Emirates
)
United Kingdom
)
Uruguay
)
Uzbekistan
)
Vanuatu
)
Venezuela
)
Wallis and Futuna Islands
)
Yemen
)
Yugoslavia
)
Zambia
)
We ONLY ACCEPT bets from countries listed in the above
Account Details
*
Login ID
Between 5 to 16 Characters, Single(') and double(") quotes are not acceptable.
*
Password
Between 8 to 15 alpha numeric (A-Z, a-z, 0-9) character only.
*
Confirm Password
*
Preferred Currency
----------Select One----------
BND - Brunei Dollar
EUR - Euro
GBP - UK Pound
HKD - Hong Kong Dollar
IDR - Indonesia Rupiah
MY - Malaysia Ringgit
RMB - Chinese Renminbi
THB - Thailand Baht
USD - US Dollar
Please read Deposit / Withdrawal guides.
Credit cards from some countries and / or banks may not be permitted.
*
Preferred Language
----------Select One----------
English
简体中文
ไทย
Tiếng Việt
한국어
日本語
Bahasa Indonesia
*
Security Question
----------Select One----------
Mother's first name ?
)
Name of favorite book ?
)
Favorite pet's name ?
)
Favorite movie ?
)
Favorite hobby ?
)
Favorite sport team ?
)
My childhood hero ?
)
My secret code ?
)
My favorite star ?
)
My life dream ?
)
*
Referral ID
Promo Code
Communication Details
*
How did you learn about MANSION88?
----------Select One----------
MANSION88 Website
Sports websites
Other websites
Mens magazines
Other magazines
Friend
Pub/Club/Entertainment outlets
Television
Events
Others
*
Mandatory if you had chosen Others
Security and Agreement Details
*
Are you 18 years of age or older, and accept our
Terms and Conditions ?
Yes
No
*
Would you like to receive our newsletter?
Yes
No
*
Would you like to receive our SMS?
Yes
No
User Verification
(Security Code)
