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Vendor Registration
Registration to become our partner to fight against COVID-19
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Company Name
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Your answer
Company Registration No:
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Your answer
Nature Of Business (Please tick whichever applicable)
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Public Listed Company (BHD)
Private Company (SDN BHD)
Partnership
Sole Proprietor
Other:
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Date of Incorporation
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MM
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DD
/
YYYY
Company Email
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Your answer
Telephone number
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Your answer
Registered Address ( as records lodge to SSM/ROB)
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Your answer
Business Operating Address :
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Your answer
Contact person name
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Your answer
Contact person phone number
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Your answer
Contact person email
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Your answer
Company Website
Your answer
The undersigned hereby declare that all particulars and information contained herewith are true and accurate and there has been no deliberate suppression of facts which are required for the completion of this form.
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