Company Name*Please enter your full company name

Person in Charge*Name of the person in charge

Company Registration Number* xxxxxxx-x format

Telephone Number*Please enter your company telephone number

Fax NumberPlease enter your fax number (optional)

Mobile Number*Mobile number where we can contact you

Email Address*Please enter a valid e-mail address

WebsitePlease provide us your URL (optional)

 Line 2

 Line 3

Zip Code*Enter 5 digit Zip Code

State*Please select:—Please choose an option—Kuala LumpurSelangorJohorMelakaNegri SembilanPahangPenangKedahKelantanPerakPerlisTerengganuSabahSarawakLabuanPutrajaya

Company Type*Please select—Please choose an option—Sole proprietorshipPartnershipLimited Liability Partnership, also known as LLPPrivate Limited Company (Sdn Bhd)Public Limited Company (Berhad)

Company Registration Document*Please upload SSM Form 9, 24, 49 and/or required documents

We only accept JPEG, JPG, GIF, PNG and PDF file format

Are you a Government-Linked Company (GLC)?*YesNo

Equity Status*BumiputeraNon-BumiputeraForeign

Bank Name*

Payee Name*

Bank Account Number*

Swift Code

Bank Address