Please complete the following form to place a debt via Octempo:RM.
Your personal information is protected in accordance with our data protection policy*.

Your name  
Your company name  
Your email address    
Your contact number  
Name of debtor  
Country of debtor
Value of debt  
Days overdue  
* I have read and agree to the terms and conditions of use of this website, which can be read here.  I also understand that by registering Octempo:RM may contact me directly.