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

Name *
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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) *
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Name Address Account Number
Other Bank Information
:
Name Address Account Number
Paid Up Capital *
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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 *
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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 *
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
Company Profile *
:
(*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)
Letter of Consent Authorisation *
:
(*accept png, jpeg, jpg, pdf, microsoft word, microsoft excel, microsoft powerpoint, zip, rar)
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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