COMPANY REGISTRATION FORM Web Site PROPOSED NAME OF THE COMPANY**: (*Single letters included in the name stand for) NATURE OF BUSINESS / BUSINESS CODE (IF ANY) DIRECTOR (THE SPELLING OF THE NAME MUST BE SAME AS STATED IN NRIC / PASSPORT) NAME (DIRECTOR 1) * NRIC / PASSPORT * ADDRESS * (*Malaysian Address) DISTRIBUTION OF SHARES * CONTACT NO. EMAIL * NAME (DIRECTOR 2) * NRIC / PASSPORT * ADDRESS* * (*Malaysian Address) DISTRIBUTION OF SHARES * CONTACT NO. EMAIL * 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.