Company Name Company Registration No./ Registration Date Telephone number Email Website Social Media (If any) Office Address Factory Address Factory Telephone Number Factory Email Area of Business —Please choose an option—LoggingSawmillPlywoodFurniture FactoryMouldingFurniture ComponentsTrader(Raw Material)Trader(Furniture)Woodworking(BOT,BJC)Agarwood SupplierExporterProfessional: (Designer,Architect,Consultant) Products TYPE OF BUSINESS Type of Business —Please choose an option—Sole ProprietorshipPartnershipSdn BerhadBerhadAssociation INFORMATION OF BOARD OF DIRECTORS Name of Board of Director Identification Number Name of Board of Director Identification Number Name of Board of Director Identification Number Information Shareholders and Financial Authorized Capital Paid up Capital Ownership Percentage(Bumiputera) Ownership Percentage(Non-Bumiputera) Ownership Percentage(Non-Citizen) Name of Shareholder Identification Number Name of Shareholder Identification Number INFORMATION OF COMPANY DOCUMENTS FORM 49 OF COMPANIES ACT FORM 24 OF COMPANIES ACT FORM 9 OF COMPANIES ACT MEMORANDUM & ARTICLES OF ASSOCIATION(M&A) MALAYSIAN COMPANIES COMMISION FORM (SSM) PRODUCT CATALOGUE COMPANY PROFILE (IF ANY) INFORMATION OF STAFF Total of Management Staff Total of Clerk Total of Middle Management Staff Total of Skilled Workers Total of Semi-Skilled Workers Total of Unskilled Workers Total of Malay Staff Total of Chinese Staff Total of Indian Staff Total of Foreigner Staff Membership Information Register of Malaysian Societies Association Name Membership No Registration Date Type of Membership ( Ordinary Members/ Corporate Members / Honorary Members ) COMPANY DECLARATION We confirm that the above details been shared are true. If our company being accepted as a member of this association, we will obey all the laws and rules of the association enforced from time to time. Name Position
