Company Details
Company*
:
Company Registration No :*
:
Date of Registration :*
:
Registered Address*
:
Business Address*
:
Office Number*
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Please input valid Contact Number : eg. +603XXXXXXXX
Fax Number
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Website
:
Contact Person*
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Designation*
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Company Officers and Contacts
Managing Director (or equivalent position)

Name*
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Mobile Number*
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Please input valid Contact Number : eg. +6016XXXXXXXX
Email*
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General Manager

Name*
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Mobile Number*
:
Please input valid Contact Number : eg. +6016XXXXXXXX
Email*
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Finance Manager

Name*
:
Mobile Number*
:
Please input valid Contact Number : eg. +6016XXXXXXXX
Email*
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Purchasing Dept

Please input valid Contact Number : eg. +6016XXXXXXXX
Name*
:
Mobile Number*
:
Email*
:
Accounts Payable Dept

Name*
:
Mobile Number*
:
Please input valid Contact Number : eg. +6016XXXXXXXX
Email*
:
Bank Information (Primary)*
:
Name Address Account Number
Other Bank Information
:
Name Address Account Number
Paid Up Capital*
:
No of Employees*
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Years in Business*
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Trade Payable Reference*
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Company Name Company Address Office Number
Other Trade Payable Reference
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Company Name Company Address Office Number
AMOUNT CREDIT REQUESTED (RM)*
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CREDIT TERMS*
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Financial Information (Last 2 years)

Year*
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Turnover*
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Cost of sales*
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Net Profit / (Loss) after tax*
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(a) Current assets*
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(b) Total assets*
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(c) Current liabilities*
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(d) Total liabilities*
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(e) Total Equity*
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(b) - (d) = (e) *
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Paid-up capital*
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Authorised capital*
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Trade receivables*
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Inventories*
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Bank*
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Trade payables*
:
File Attachments
* Total file attachments size cannot be exceed than 20M
 
Form 24 (CTC Copy within 3 months from to date)*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Form 49 (CTC Copy within 3 months from to date)*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Form 9 (CTC Copy within 3 months from to date)*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Form 13 - If any (CTC Copy within 3 months from to date)
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Memorandum and Articles of Association (CTC Copy within 3 months from to date)*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Latest Audited Report 1*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Latest Audited Report 2*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Latest 3 months Primary Bank Statement*
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(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Company Profile*
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(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Letter of Guarantee
(Please send Original copy to our office)*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Download Letter of Guarantee and Indemnity Form
Letter of Consent Authorisation*
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Download Letter of Consent Authorisation Form
Form Submitted by
Name*
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NRIC No*
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Designation*
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NOTE: The below email address will be receiving a copy of the submission info.
Email Address*
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Download Terms & Conditions

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