Instructions :
1. Please fill up below forms completely especially mark with ” * ” which is required fields
2. Only complete form with sufficient payment paid will be process
3. Process will take around 5 working days for Sdn Bhd / Berhad company and 30 working days for Yayasan / Berhad charity (depend to clients response & SSM / JPM process)

"*" indicates required fields

Step 1 of 3

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Company Info

Company Name*

Company Registration No.*

Job Info

Services Option*

Please choose oneSendirian Berhad Company (RM477)Berhad Company (RM583)Yayasan & Berhad Charity (RM636)

Propose Company Name*

Provide 1-3 propose company names. Click (+) to add name

Add Remove

Explaination

If name not in Bahasa Malaysia / English, give translation. If contain just alphabet, give full words

Representative Info, Declaration & Signature

Representative Name*

Representative NRIC / Passport No.*

Phone No.*

Email Address*

Representative declaration & signature*

I hereby confirm the info given in this form is true and gathered legally by me with the consent from all the person involved

I hereby agree that all payment paid for this application is non-refundable and non-transferable (no contra allowed) to any other services

Sign Here*

Sales / PIC Person Info

Sales / PIC Person Name*

Sales / PIC Person Email*

Total to Pay

Payment By*

Please choose oneCash by handBank in transfer to MaybankBank in transfer to CIMBCredit / Debit CardDuitNowCheck