Vendor Registration Form

PART A : COMPANY PARTICULARS

* Company Name

* Company Registration No

* SST Registration No (if any)

* Incorporated Date

* Registered Address (including postcode)

* Registered Address (including postcode) asfsa dsa

* Correspondence Address (including postcode)

* Phone No

Fax No

* Email Address

* Numbers of Employees (Please support with Organization Chart / Schedule of Staff)

Numbers of Branch (if any)

Location of Branch (if any)

Other Contact Person in the Company

* Name

* Designation

* Mobile No.

PART B : PARTICULAR OF DIRECTORS, PARTNERS
1.0 PARTICULARS OF FINANCIAL RESOURCES

* Paid Up Capital

* 1.3 a) Credit Facilities

* b) Overdraft Facilities

* c) Annual Turnover

PART C : CATEGORY / TRADE

* Thread

Mechanical

Electrical

Fire fighting

if Others Please clarify

PART D : DOCUMENTS REQUIRED

PART E : BUMIPUTERA CONTRACTOR APPLICATION
1.0 BUMIPUTERA REGISTRATION

* Bumiputera Status Registration Reference No

* Please state the relevant regulatory bodies (PKK / KKM / CIDB / Other)

* Expiry Date

* 2.0 DOCUMENTS REQUIRED

1. Valid Certificate for Bumiputera Status Registration (Issued from PKK / KKM / CIDB / Other)

2. Any registration from relevant regulatory bodies for Bumi Status

3. Directors' Circulation resolution passed pursuant to the Company's Articles of Association of Bank Cheques

4. Borang A (KWSP6) - Latest 3 months statement together with proof of payment

5. Borang 8A (PERKESO) - Latest 3 months statement together with proof of payment

PART F : FOR CIDB REGISTERED CONTRACTOR ONLY
1.0 CIDB REGISTRATION
CIDB Registration Certificate

Grade