COMPANY REGISTRATION FORM
Contact Details
The details of the primary contact person
Name
*
First Name
Last Name
Mobile Phone
*
Please enter a valid phone number.
Email
*
example@example.com
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Proposed Company Name(s)
Give us maximum 3 proposed name and it's meaning. We will check the availability and revert to you in 1-2 working days.
How many company name(s) you would like to provide?
*
1
2
3
1 is , 3 is
Company Name #1
Company Name
*
e.g. Happy Bunny Sdn Bhd
Meaning
*
e.g. Bunnies love carrots! We are the carrot grower and supplier within Malaysia.
Company Name #2
Company Name
*
Meaning
*
Company Name #3
Company Name
*
Meaning
*
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Details of The Company
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Office Number
*
Please enter a valid phone number.
MSIC Code
*
Click
here
to find a MSIC code that fit your business nature.
Nature of Business
*
Describe your nature of business and business activities in details.
File(s) Upload
Browse Files
Drag and drop files here
Choose a file
i.e. Upload business related brochures, flyers and etc, if any.
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of
Initial share capital in RM
Default will be RM1.00 each, if not specify.
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Director/Shareholder Details
The list of ALL directors and shareholders details.
How many director(s) and shareholder(s)?
*
1
2
3
4
1 is , 4 is
Person #1
Acting As
*
Shareholder
Director
Name
*
First Name
Last Name
Passport/NRIC No.
*
Nationality
*
Please Select
Malaysian
Malaysian permanent resident
Non-Malaysian
Passport Expiry Date
*
-
Month
-
Day
Year
Date
Race
*
Chinese
Malay
Indian
Other
Occupation
*
Shareholding (%)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Please upload scan copy of passport or NRIC and proof of residential address for Non-Malaysian e.g. utility bill.
Cancel
of
Person #2
Acting As
*
Shareholder
Director
Name
*
First Name
Last Name
Passport/NRIC No.
*
Passport Expiry Date
*
-
Month
-
Day
Year
Date
Nationality
*
Please Select
Malaysian
Malaysia Permanent Resident
Non-Malaysian
Race
*
Chinese
Malay
Indian
Other
Occupation
*
Shareholding (%)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Please upload scan copy of passport or NRIC and proof of residential address for Non-Malaysian e.g. utility bill.
Cancel
of
Person #3
Acting As
*
Shareholder
Director
Name
*
First Name
Last Name
Passport/NRIC No.
*
Passport Expiry Date
*
-
Month
-
Day
Year
Date
Nationality
*
Please Select
Malaysian
Malaysia Permanent Resident
Non-Malaysian
Race
*
Chinese
Malay
Indian
Other
Occupation
*
Shareholding (%)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Please upload scan copy of passport or NRIC and proof of residential address for Non-Malaysian e.g. utility bill.
Cancel
of
Person #4
Acting As
*
Shareholder
Director
Name
*
First Name
Last Name
Passport/NRIC No
*
Passport Expiry Date
*
-
Month
-
Day
Year
Date
Nationality
*
Please Select
Malaysian
Malaysia Permanent Resident
Non-Malaysian
Race
*
Chinese
Malay
Indian
Other
Occupation
*
Shareholding (%)
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Please upload scan copy of passport or NRIC and proof of residential address for Non-Malaysian e.g. utility bill.
Cancel
of
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Other Information
Source of funds to be used in this business
*
Employment
Business
Investment
Other
Service coverage for customers & suppliers
*
i.e. City, State and Country covered for this business.
Next-of-Kin Details
Person #1
Name
*
First Name
Last Name
Passport/NRIC No
*
Nationality
*
Please Select
Malaysian
Malaysia Permanent Resident
Non-Malaysian
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Relationship
*
Person #2
Name
*
First Name
Last Name
Passport/NRIC No
*
Nationality
*
Please Select
Malaysian
Malaysia Permanent Resident
Non-Malaysian
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Relationship
*
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Declaration
I/We hereby:
Certify that all information provided above are accurate, whole and complete and hereby undertake to furnish SMI Corp with any updated information when it becomes available in a timely manner and relinquish any form of penalty or liability on SMI Corp.
Authorize SMI Corp to make relevant filing to Suruhanjaya Syarikat Malaysia (SSM) on behalf of the Company for registration of the Company. The Company and the Company's Shareholders & Directors also herebt fully indemnifies and holds SMI Corp harmless from any loss, cost or damages in respect of inaccuracy or incomplete information filed through the service howesoever arising and against all claims or liabilities from any party concerned.
I/We, the director(s) declared that:
Not an undischarged bankrupt under the Insolvency Act 1967
Not disqualified under the Companies Act 2016
Has not been convicted, whether inside or outside of Malaysia, of any offense
Has not been imprisoned for any offenses prescribed under the Companies Act 2016 within 5 years immediately preceding their appointment.
Must ordinarily reside in Malaysia by having a principal place of residence in Malaysia
Must be a natural person and at least 18 years of age
Submit
Should be Empty: