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CONFIDENTIAL

LAMPIRAN I

REGISTRATION FORM FOR


MEMORANDUM OF UNDERSTANDING (MoUs) OR AGREEMENT

A.

DETAILS OF MALAYSIAN COMPANY

1.

Name of Malaysian Company & Address:

2.

Particulars of Malaysian Company*:


a)

Authorised Capital: (please attach ROC Form 24)

b)

Paid-up Capital:

c)

Date of Incorporation:

d)

Board of Directors: (please attach ROC Form 49)

Note : *This section need not be completed if a copy of the annual report is attached.
Please attach a copy of the latest companies available annual report.

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e)

Companys business activities:

f)

Address of branch office overseas and contact person (if any):

g)

Name of major projects completed in Malaysia and overseas:

h)

Name of existing major projects/investments in Malaysia and overseas:

3.

Contact person in Malaysia:


Name:

Add:

Phone:

Fax:

Email:

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B.
4.

DETAILS OF FOREIGN COMPANY/PARTNER


Name of Foreign Company & Address:

5.

Particulars of Foreign Company/Partner*:


a)

Authorised Capital:

b)

Paid-up Capital:

c)

Date of Incorporation:

d)

Board of Directors:

e)

Business activities:

f)

Name of major projects/investments undertaken or underway:

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C.
6.

DETAILS OF MOU/AGREEMENT
Nature of MoU or Agreement. Please tick appropriate box (es):
(

) To undertake feasibility study

) To do Joint Venture for particular project

) To establish join-venture company

) For technology transfer & cooperation

) On technical assistance

) On sales and marketing arrangements

) On assembling & distribution of products

) On purchase of property, hotel, resort

) To develop infrastructure facilities and construction

) On privatisation of selected company

) On procurement of products & services

) Others (please specify) .

7.

Brief description
activities:

of

proposed

investments/project/joint

ventures/business

8.

Estimated cost of the project:


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9.

10.

Proposed financing. Please tick appropriate box (es):


(

) Domestic

) Foreign

) Off-shore

Time-frame for the validity of the MoU/Agreement:

11.

Name other MoUs/Agreements signed in the past and indicate its status:

12.

Please attach a copy of the MoU/Agreement to be signed.

.
Signature
Name:

Designation: .
Note:

The completed registration form must be signed by the Chief Executive Officer/Managing Director
of Company Secretary and returned to:Secretary General
Ministry of International Trade and Industry
Block 10, Government Offices Complex
Jalan Duta
50622 Kuala Lumpur.
(Attn. :
Senior Director
Economic and Trade Relations Division)

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Ministry of International Trade and Industry
31-1-26/si/har/Disk.3.81/MoU Agreement.(31-1-64).

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