Download Info Pack
Why Cordlife

For existing Cordlife Parents

Kindly please fill in the form below to activate your LIFE CARD*

Mother's Name:*
This field is required
Email Address:*
This field is required
Date of Birth:*
Invalid Input
Mobile Phone:*
This field is required
Contract Number:*
This field is required
Delivery LIFE CARD Address:*
This field is required
Upload your payment transfer receipt of administrasion fee Life Card IDR 100K (for client with annual payment package only) **

*LIFE CARD is valid for one mothers name only, if you have more than one account in Cordlife, we will only proceed one LIFE CARD for you

**For Client with annual plan only

*Activation fee for annual plan client IDR 100K

*Transfer administration fee to PT Cordlife Persada account no BCA 459.303.5991

Please Verify:
Invalid Input

DCR No. 1546, June 2019