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Startup Name
*
Name of your start-up
Startup Registration Number
Company Registration No.
Year of Incorporation
*
YYYY
Mark Where Applicable
*
Women-led Venture
100% Bumiputera Company
Majority Bumiputera Company
None of the Above
E-mail
*
Email Address
Mobile
*
-
Area code (+60)
Phone number
Address
*
Country
*
Please Select
Malaysia
Singapore
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
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Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Congo {Democratic Rep}
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland {Republic}
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russian Federation
Rwanda
St Kitts & Nevis
St Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Postcode
*
State or City
*
Startup Description
*
Less than 150 characters
0/150
Penang-based Startup?
*
Yes
No
Startup Stage
*
Please Select
Ideation
Seed
Post-Seed
Growth
Series A Potential
Series B and above
Please select the business stage
Startup Size
*
Please insert the number or employees
Industry Sector
*
Please Select
B2B
Education
Fintech
Consumer
Healthcare
Real Estate
Industrials
Government
Others
Please select the sector category
Education
EdTech
FinTech
Asset Management
Banking and Exchange
Consumer Finance
Credit and Lending
Insurance
Payments
Consumer
Apparel and Cosmetics
Consumer Electronics
Content
Food and Beverage
Gaming
Home and Personal
Job and Career Services
Social
Transportation Services
Travel, Leisure and Tourism
Virtual and Augmented Reality
Consumer Health and Wellness
Diagnostics
Drug Discovery and Delivery
Healthcare IT
Healthcare Services
Industrial Bio
Medical Devices
Therapeutics
Healhcare
Consumer Health and Wellness
Diagnostics
Drug Discovery and Delivery
Healthcare IT
Healthcare Services
Industrial Bio
Medical Devices
Therapeutics
Real Estate & Construction
Construction
Housing and Real Estate
PropTech
Industrials
Agriculture
Automotive
Aviation and Space
Climate
Drones
Energy
Manufacturing and Robotics
Government
GovTech
Primary Product Name
*
Please provide product/service name
Govt Grant Recipient?
*
Please Select
Yes
Application in Process
No
Are you currently raising funds?
*
Yes
No
Fundraise Target?
Please insert fundraised amount
Amount Fundraised?
Please insert fundraised amount
Website URL
*
Provide website URL if available
Startup Logo
*
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Name of applicant
*
Mr.
Mrs.
Ms.
Prefix
First Name
Last Name
Designation
Submit
B2B
Analytics
Engineering, Product and Design
Finance and Accounting
Human Resources
Infrastructure
Legal
Marketing
Office Management
Operations
Productivity
Recruiting and Talent
Retail
Sales
Security
Supply Chain and Logistics
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