Affiliate Membership Application Form
Today ! Be Branded
Application Guide :
Only completed application form with supporting documents will be processed.
Kindly attached the Application form together with copies of Forms 9, 24 and 49, company profile and company logo in both jpeg and AI format (if available) or send it to
secretariat@brandingmalaysia.com
Applications will be processed within
7 working days
.
All applicants that are approved as members to the Association by the Membership Committee will be entitled to membership privileges and benefits.
Join Us Now !
Kindly complete the application form in black ink and BLOCK LETTERS.
Company Name
*
Company Registration Number
*
Year of Establishment
*
Please Select
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
Office Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Office Phone Number
*
-
Area Code
Phone Number
Office Fax Number (Options)
-
Area Code
Phone Number
Website
Company Email
Industry
*
Number of Employees : Malay (%)
Chinese (%)
Indian (%)
Others (%)
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Name of Applicant
*
Designation
*
Mobile Number
*
-
Telco Code
Phone Number
E-mail
*
example@example.com
Alternative Contact Person
*
Designation
*
Mobile Number
*
-
Telco Code
Phone Number
E-mail
*
example@example.com
Nominated by
*
Please key-in the person's name who invite you to join us as a branded member.
Digital Signature
*
Submission Date
-
Day
-
Month
Year
Date
Membership Type
*
Affiliate Membership - RM2,000/year (Non-Malaysia Brand based in Malaysia)
Kindly attached a copies of Forms 9, 24 and 49, company profile and company logo in both jpeg and AI format (if available).
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Payment Details :
AFFILIATE MEMBERSHIP FEE
is RM2,000 per year.
Upon approval of your application, you should receive a Online Payment link via Whatsapp or email.
Or you can bank in to
CIMB A/C No: 8008381994
and email the bank-in slip to
secretariat@brandingmalaysia.com
Apply for Membership
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