Register Vendor
1
Profile
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Vendor Information
3
Vendor Category / Subcategory
4
Checklist
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Declaration
Username
*
Password
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Password Confirm
*
MECHANICAL
ELECTRICAL, CONTROL& INSTRUMENTATION
CIVIL
OFFICE EQUIPMENT & STATIONARY
SUB-CONTRACTING & SERCIVES
OTHERS
VENDOR INFORMATION(I)
COMPANY PARTICULARS
1. NAME OF COMPANY
*
2. REGISTERED BUSINESS ADDRESS
*
3. CORRESPONDENCE ADDRESS
*
TELEPHONE NUMBER
*
FACSIMILE NUMBER
E-MAIL ADDRESS
*
WEBSITE
4. WAREHOUSE ADDRESS
*
TELEPHONE NUMBER
FACSIMILE NUMBER
5. NATURE OF ORGANIZATION
*
PUBLIC COMPANY
PRIVATE COMPANY
PARTNERSHIP
SOLE PROPRIETER
OTHERS(to specify)
*Companies are to submit a certified true copy of the Memorandum and Articles of Association together with the Certificate of Incorporation. Partnership and Sole Proprietor are submit a certified true copy of the Business Registration Form.
6. DATE OF INCORPORATION
*
7. PLACE OF INCORPORATION
*
8. Business/COMPANY REG. NO
*
ORGANIZATION AND EMPLOYMENT STRUCTURE
1. PRINCIPAL OWNERS / SHAREHOLDERS
(A certified true copy of Form 24 must be enclosed)
2. BOARD OF DIRECTORS
(A certified true copy of Form 49 must be enclosed)
3. CURRENT EMPUOYMENT STRUCTURE
(A copy of Organization Chart must be enclosed)
4. KEY PERSONNEL
(A list of key personnel must be enclosed)
5. Sijil PKK (Pusat Khidmat Kontraktor)
Registration No.
Expiry Date
6. Sijil KK (Kementerian Kewangan)
Registration No.
Expiry Date
7. Sijil Lembaga Pmbinaan Industri Malaysia (CIDB)
Registration No.
Expiry Date
8. Penyata Kewangan / Financial Statement (last 3 years )
attached doc
FINANCIAL INFORMATION
1. CAPITAL STRUCTURE
(Please state the currency)
1.1 AUTHORISED CAPITAL
1.2 PAID UP CAPITAL
1.3 ANNUAL TURNOVER
1.4 WORKING CAPITAL
1.5 NET PROFIT/(LOSS) LAST 3 YEAR
Year
Amount
*Please attach certified true copy of audited accounts for the last 3 years
ACCOUNTS DETAILS
2.1 BANKER'S NAME/ADDRESS
2.2 ACCOUNT NUMBER
2.3 TYPE OF CREDIT FACILITY
EQUITY CONTENT
3.1 MALAYSIAN
3.2 FOREIGN
VENDOR INFORMATION (II)
A. REGISTRATION WITH STATUTORY AUTHORITIES / BODIES
Please attach certified true copy of the registration
Select file
B. CONTACT PERSON
1
2
3
NAME :
DESIGNATION :
DIRECT LINE :
MOBILE PHONE :
E-MAIL ADDRESS :
C. PRODUCTS
(Please provide details of products)
PRINCIPAL INFORMATION
(Please fill one form each principal and attached supporting documents)
COMPANY NAME
CORRESPONDENCE ADDRESS
COMPANY REGISTRATION NO.
TELEPHONE NUMBER
E-MAIL ADDRESS
HOMEPAGE
CONTACT PERSON / S:
1
2
3
NAME :
DESIGNATION :
DIRECT LINE :
MOBILE PHONE :
E-MAIL ADDRESS :
KAPAR ENERGY VENTURES SDN. BHD.
VENDOR'S MAIN CATEGORY & SUB-CATEGORY/ SPECIALISATION
COMPANY NAME:
1.MAIN CATEGORY
SPECIAL PRODUCTS
ELECTRICAL
C & I -CONTROL & INSTRUMENTATION
FABICATOR / MACHINING
GENERAL TRADER
ORIGINAL EQUIPMENT MANUFACTURER
SPECIAL
CIVIL ENGINEERING & CONCTRUCTION
INFORMATION TECHNOLOGY & SERVICES
CONSULTANCY SERVICES
OTHERS(PLEASE SPECIFY)
2.SUB-CATEGORY - MAIN ACTIVITIES / SPECIALISATION
1. MECHANICAL
2. ELECTRICAL
3. CONTROL & INSTRUMENTATION
4. CIVIL
5. FABRICATION
6. MACHINING
7. CHEMICAL
8. BOILER
9. TURBINE
10. MANPOWER SUPPLY
11. SOFTWARE, HARDWARE, NETWORK RELATED SERVICES, LICENCES & PERIPHERAL
12. TECHNICAL ADVISOR
13. FINANCIAL ADVISOR
14. INSURANCE
15. LICENCES
16. OTHERS: Please Specity
No
No.PO / KON
TAJUK KERJA-KERJA YANG PERNAH DI BUAT
TEMPLAT KERJA DIBUAT
JUMLAH HARGA(RM)
CATITAN
1
CHECK LIST OF ENCLOSURES REQUIRED:
BUSINESS REGISTRATION FORM/FORM D
CERIFICATE OF INCORPORTATION
MEMORANDUM ARTICLES OF ASSOCIATION
FORM 24
FORM 49
COMPANY'S ORGANIZATION CHART
RELEVANT LICENCE/ REGISTRATION CONFIRMATION LETTER
BROCHURES AND CATALOGUES
OTHERS (To specify)
(Please ensure that all documents have been certified true by commissioners of oath or companies secretary accordingly)
DECLARATION
We, the undersigned hereby declare to the best of our knowledge and belief that particulars furnished under this application are true and accurate. We also authorize
Kapar Energy Ventures Sdn. Bhd.
and its representatives to undertake further investigation if so desired. We also agree that any incorrect information stipulated in this form may render our registration invalid.
NAME :
I/C NUMBER :
DESIGNATION :
DATE :
COMPANY'S STAMP
We, undersigned hereby declare to the best of our knowledge and belief that particulars furnished under this application are true and accurate. We also authorize
Kapar Energy Ventures Sdn. Bhd.
and its representatives to undertake further investigation if so desired. We also agreed that any incorrect information stipulated in this form may render our registration invalid.
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