Application Form: Corporate
1.
Name of Company:
2.
Address
Suburb:
Postcode/Zip:
Telephone:
Fax:
Email:
Handphone:
Website:
3.
Principal (voting),
representative:
4.
Designation:
5.
Nationality:
6.
Other representatives:
i.
Designation:
Nationality:
ii.
Designation:
Nationality:
iii.
Designation:
Nationality:
7.
Background of Company:
i.
Date / Year Incorporated:
ii.
Country of Incorporation:
iii.
Annual Turnover:
iv.
Total Workforce:
v.
Company Type:
(Private/Public/Branch/Other)
vi.
Business Type:
(Manufacturing/Trading/Service/Finance/Others)
vii.
Is the company? (tick where appropriate)
Malaysian Company with investment in Australia
Australian Company with investment in Malaysia
Subsidiary/Branch of an Australian Company
A Malaysian/Australian partnership, joint venture company
A company trading with both Malaysia and Australia
An overseas multinational (ie non Malaysian and non Australian)
Local (Malaysian) company/partnership/sole proprietor
Other, please specify:
8.
Shareholding/Equity Structure:
i.
Paid-up Capital (RM):
ii.
Value of Investment:
a) Malaysian (RM)
b) Australian (A$)
c) Others
Proposer/Seconder
(where available or
skip
to submit the form)
Proposer
1.
Name:
2.
I.C. / Passport Number:
3.
Designation:
4.
Company:
5.
Address
Suburb:
Postcode/Zip:
Telephone:
Fax:
Email:
Handphone:
Seconder
1.
Name:
2.
I.C. / Passport Number:
3.
Designation:
4.
Company:
5.
Address:
Suburb:
Postcode/Zip:
Telephone:
Fax:
Email:
Handphone:
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