Business Registration Form
Company Name
*
Required
Business Registration No
*
Required
Registered Address
*
Required
Required
Required
Required
Required
Business Address
*
Required
Required
Required
Required
Required
Contact Person
*
Required
Contact Number
*
Required
Fax Number
E-mail
*
Required
Invalid Email Format
Main Category
*
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Please select one
Business Category
*
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Please select one
Business Types
*
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Please select one
Job Description
*
Required
Limit to 150 characters (Please describe your main business activity only)
Paid-Up Capital
*
Required
Invalid Number
Number of staff
*
Required
Shareholders
*
Required
Required
Required
Invalid Number
Add
Remove
BOD Members
*
Required
Required
Required
Required
Add
Remove
Registered with PETRONAS
Yes
BUMIPUTERA Status
Yes
CIDB Registration
None
G1
G2
G3
G4
G5
G6
G7
Please provide your company profile
{{fileData.file.name}}
Attachment must be in one file
Attachment must not exceed the capacity of 10 MB
Attachment must be in PDF Format
Please tick
*
Where JPDC intends to share information with third parties for strategic alliances, marketing and promotional purposes;
We hereby give our consent to the above disclosure to third parties
Required
Submit Form
Submit Form
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