Applicant’s Details
Name
NRIC/Passport No.
Email
example@example.com
Phone No
Address
Company’s Information
(Please Tick the Box)
Company’s Type
Sdn. Bhd.
Berhad
Yayasan
Company’s Size
Small Company Incorporation
Medium Company Incorporation
Large Company Incorporation
*Small Company Incorporation - For companies with the small paid up capital.*Medium Company Incorporation - For companies with the medium paid up capital.*Large Company Incorporation - For companies with the large paid up capital.
Company’s Suggestion Name
(Please mention the meaning of the name)
First Suggestion
Second Suggestion
Third Suggestion
Company’s Details
Nature of Business 1
Nature of Business 2
Nature of Business 3
Business Code
Business Address
Office Email
example@example.com
Office No.
Fax Number
Paid Up Capital
Director’s Details 1
Name
Nationality
NRIC/Passport No.
Passport Expiry Date (if any)
Date of Birth
Email
Phone Number
Residential Address
Country
*Please include a copy of NRIC / Passport
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Director’s Details 2
Name
Nationality
NRIC/Passport No.
Passport Expiry Date (if any)
Date of Birth
Email
Phone Number
Residential Address
Country
*Please include a copy of NRIC / Passport
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Director’s Details 3
Name
Nationality
NRIC/Passport No.
Passport Expiry Date (if any)
Date of Birth
Email
Phone Number
Residential Address
Country
*Please include a copy of NRIC / Passport
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Shareholder’s Details 1
Name
Nationality
NRIC/Passport No.
Passport Expiry Date (if any)
Date of Birth
Email
Phone Number
Residential Address
Country
Percentage of Shares
No. of Shares
*Please include a copy of NRIC / Passport
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Shareholder’s Details 2
Name
Nationality
NRIC/Passport No.
Passport Expiry Date (if any)
Date of Birth
Email
Phone Number
Residential Address
Country
Percentage of Shares
No. of Shares
*Please include a copy of NRIC / Passport
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Bank Details
Bank
Islamic/Conventional
Branch
Signatory Condition
Checker
Maker
Remarks
*If any remarks to add
Acknowledgement
I, hereby acknowledge that I have read all the details in this form & all the information thathave been filled in this form are correct. I also agree with the quotation for the fee that willbe charged when I appoint Initial Business Consultancy Sdn. Bhd. as my Company Secretary.
Signature
Name
NRIC/Passport
Date
-
Month
-
Day
Year
Date
SUBMIT
SUBMIT
Should be Empty: