• Acquisition Interest Form

    • Section 1: Potential Buyer / Prospect Information 
    • 4. Phone Number*
    • Section 2: License & Service Requirements 
    • 7. License Type (s) of Interest (Select all that apply)*
    • 8. Preferred Region (s) for Acquisition (Select all that apply)*
    • 9. Preferred Timeline for Acquisition*
    • Section 3: Investment Capacity & Background 
    • 10. Estimated Budget / Investment Capacity (Select one - indicative only)*
    • Section 4: Strategic Partner (SP) Information (if applicable) 

    • Note:

      1. This section is only for approved Strategic Partners submitting on behalf of a potential buyer. If you are a direct buyer, you may skip this section.

      2. If your Strategic Partner (SP) application has already been approved, please complete the section below using the information you provided in the SP Registration & Consent Form.

      3. If you are not a Strategic Partner and are referring a potential buyer, please complete the SP Registration & Consent Form first at https://fpgberhad.com/application-form/

    • 14. SP Contact Number
    • 15. Date of SP Registration & Consent Form Submission
       / /
      2 digit day, 2 digit month, 4 digit year
    •  

    • Acknowledgement and Agreement

      I acknowledge that submission of this Acquisition Interest Form is for exploratory purposes only. I understand that this form does not constitute a binding agreement, and does not guarantee approval, acceptance, or any form of payment or compensation from First Pavilion Global Berhad.

    • Date*
       / /
      2 digit day, 2 digit month, 4 digit year
    •  
    • Should be Empty: