SHELF COMPANY REGISTRATION FORM Web Site NAME OF THE COMPANY**: * Please Enter Your Full Name DIRECTOR (THE SPELLING OF THE NAME MUST BE SAME AS STATED IN NRIC / PASSPORT) No of Director * 1 Director 2 Directors 3 Directors BUSINESS ADDRESS * (*Malaysian Address) NAME OF BANK & BRANCH * TERM OF SIGNATORIES * EITHER ONE BOTH ONLY ONE OTHERS * PHOTOCOPY NRIC (MALAYSIA) OR PASSPORT (FOREIGNER) * PLEASE ADD ANOTHER FORM FOR ADDITIONAL DIRECTOR.