Filing Charge: RM 2 UPM/FEP/Sem1/2020-2021/Bil1

BUSINESS REGISTRATION FORM

(Submitted with BMC)
Company Name:
Starting business date: Ending business date:
MGM3180 Group: GROUP 2 Semester and Session: SEMESTER 2 2020/2021

Name and Personal Information of Owners:

No Matric No Owner’s Name Program Tel No / HP

1
2
3
4

5
6

1
Effective Date and Duration of Business:
Type of product in business operation:

Food

Non Food

Service

Other. Please state

Type of business operation:

Production

Trading (Purchase and resell )

Service

Other. Please state: ...............................................................................

Brief description about business product / service:

Description on creativity and value added in the proposed business

Customer Target:

Starting contribution per owner: Total:

Expected profit per owner: Total:

2
Business location and related authority

No Location Authority Entity

1)

2)
3)

Contact supplier and purpose:

Equipment/ Furniture / Physical asset / Material / others needed:

I, declare that all the stated above and Business Model Canvas is accurate and true until this date.

Signature of owner’s representative: Date:

Signature and stamp of lecturer:………………………………… Date:……………..

* 2 copies: Student and Lecturer