You can always press Enter⏎ to continue
Let’s get started!
Fill out this form so we can assess your company’s eligibility.
START
1
Company Representative
*
This field is required.
Our Team Will Use This Information To Contact Your Representative.
Full Name
Email
Phone Number
Job Title
Previous
Next
Submit
Press
Enter
2
Company Details
*
This field is required.
Company Name
Please Select
Sendirian Berhad
Berhad
Please Select
Please Select
Sendirian Berhad
Berhad
Company Type
Previous
Next
Submit
Press
Enter
3
Year of Incorporation
*
This field is required.
Companies under 5 year may leverage the track record of a parent or sister company in the same industry with 5+ years.
Less than 5 years
More than 5 years
Previous
Next
Submit
Press
Enter
4
Business Nature
*
This field is required.
Previous
Next
Submit
Press
Enter
5
Please State The Purpose of Seeking Fundraising Through The SSM Interest Scheme. (200 words)
*
This field is required.
Example Include: Business Expansion, Scale Operations, Acquire Assets, Expand Into New Markets, Expansion Of A Golf Club, Expansion Of A Memorial Park, Others(Please Specify).
Previous
Next
Submit
Press
Enter
6
Do You Have An Existing Financial Consultant Or A Finance Director
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
7
Is Your Business Profitable After Tax for The Last Few Audited Financial Years? This Will Help Us Understand Your Eligibility Better.
*
This field is required.
Please Select
Yes
No
Not Available
Please Select
Please Select
Yes
No
Not Available
2024
Please Select
Yes
No
Not Available
Please Select
Please Select
Yes
No
Not Available
2023
Please Select
Yes
No
Not Available
Please Select
Please Select
Yes
No
Not Available
2022
Please Select
Yes
No
Not Available
Please Select
Please Select
Yes
No
Not Available
2021
Previous
Next
Submit
Press
Enter
8
Current Company Paid-up Capital
*
This field is required.
Less than RM 500k
RM 500k and above
Previous
Next
Submit
Press
Enter
9
Current Company Paid-up Capital
*
This field is required.
Less than RM 500k
RM 1M to RM 2M
RM 500k to RM 1M
RM 2M to 5M
RM 5M and above
Previous
Next
Submit
Press
Enter
10
Kindly Provide Your Company's Total Revenue Details For the Past Five (5) Financial Years.
*
This field is required.
Less than RM 5 million
More than RM 10 million
Less than RM 10 million
Previous
Next
Submit
Press
Enter
11
Please Specify The Amount Of Funding You Intend To Raise
*
This field is required.
In Ringgit Malaysia (RM)
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
11
See All
Go Back
Submit