Professional Documents
Culture Documents
(09.03.2012) www.mida.gov.my
Malaysian Investment
Development Authority
(b) Incentive:
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A. PARTICULARS OF APPLICANT/COMPANY
E-mail: Website:
(b) Has the company been incorporated under the Companies Act, 1965?
Yes No
If yes, please fill in the following:
(i) Date of incorporation: (ii) Company registration no.:
(iii) Income tax reference no.: (iv) Income tax branch office:
E-mail:
3. If the above company has been incorporated, please provide a copy each of the following
documents:
(i) Form 9 or 13 (ii) Form 24 (iii) Form 44 (iv) Form 49 (v) M&A
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B. PROJECT COST*
3. Working capital
Total project cost
*** If assets are rented/leased, please indicate the annual cost of rental/lease below:
RM
(i) Land
(Specify area in hectares):
Total rental/lease
Note:
* If there is more than one factory location, please provide the same information on a separate sheet of paper
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C. FINANCING
RM %
1. Authorised capital
2. Shareholders’ funds
Bumiputera
Non-Bumiputera
(ii) Companies incorporated in Malaysia*
% %
Bumiputera Bumiputera
Non-Bumiputera Non-Bumiputera
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RM
3. Loan
Domestic
Total
4. Other sources (Please specify):
Total
Total of 2, 3 and 4
5. State the name of any other company in Malaysia manufacturing the same/similar products
in which the applicant company or any shareholder of the applicant company has equity
participation.
% shares held
Name and residential address Nationality
in the company
Note:
* If the space provided is insufficient, please provide the information on a separate sheet of paper
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D. MANPOWER*
Full-time employment
Malaysian Foreign national
Category
Degree
Diploma/
Others Degree
Diploma/
Others
Total
Certificate Certificate
Note:
* If there is more than one factory location, please provide the same information on a separate sheet of paper
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Full-time employment
Malaysian Foreign national
Category
Degree
Diploma/
Others Degree
Diploma/
Others
Total
Certificate Certificate
(b) Science qualifications
(i) Chemistry
(ii) Physics
(iii) Biotechnology /
Microbiology
(iv) Pharmacy
(v) Computer Science
(vi) Others (Please specify):
Craft skills
(i) Plant maintenance
mechanic
(ii) Tool & die maker
(iii) Machinist
(iv) IT personnel
(Including CAD/CAM
designer & DCS operator)
(v) Quality Controller
(vi) Electrician
(vii) Chargeman
(viii) Welder
(ix) Other special skills related
to the sector
(Please specify):
a
)
b
)
c)
d
)
e)
f)
g
)
Note:
** Machine operators and assemblers are those involved in the production/assembly line who receive mainly on the job training
for a period between 3 to 6 months,e.g. production operators
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1. Please attach the manufacturing process flow chart and explain the major
processes. Indicate processes according to type of machinery used as follows:
R - robotic machinery
A - automatic machinery
S - semi-automatic machinery
M - manual operation
2. From the manufacturing process flow chart, please provide details on emission of
pollutants.
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Note:
* Indicate:
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Source
Value
Raw materials and Quantity* per annum Local manufacturer Import
components per annum (RM)
% of % of
Name and address Country of origin
value value
Note:
* Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
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I. PRODUCTION SCHEDULE*
Total
Number of shifts
Note:
* If there is more than one factory location, please provide the same information on a separate sheet of paper
** Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
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J. MARKET
% of market
Products/activities
Year 1 Year 2 Year 3
Note:
* Free Zone/Licensed Manufacturing Warehouse
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K. PRODUCT PRICING
Note:
* If there are more products, please provide the same information on a separate sheet of paper
Please complete this section if the applicant is applying for expatriate posts. Please exclude the
expatriate posts that have been directly applied for to the Immigration Department or any other
department.
Note:
* Please list according to priority
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For each expatriate post applied for, please submit the following details:
(a) Job function
(b) Minimum academic/professional qualification required
(c) Minimum period of experience required
(d) Justification for request
(e) Proposed training scheme for Malaysian personnel to fill the relevant posts
Basic
Duration Date
Designation Name and nationality Expiry date salary paid
approved post filled
(RM)
For each existing/approved expatriate post, please submit the following details:
(a) Name of Malaysian who has taken over/will take over the post
(b) If the post has not been/will not be Malaysianised, state reasons and the company’s
plan on the post.
3. Please attach the organisational structure of the company indicating the positions of the
expatriate posts.
M. DECLARATION
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(i) hereby declare that to the best of my knowledge, the particulars furnished in this
application are true.
(ii)* have engaged/is planning to engage the services of the following consultant for my
application :
Company Name :
Address :
Contact Person :
Designation :
Telephone no. :
Fax no. :
E-mail :
Date (Signature)
*Please complete this section if the company has engaged/is planning to engage the services of
consultant(s) to act on behalf of the company. Please provide information on a separate sheet of paper
if space is insufficient
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