Form (1)

Investment Screening Form

To
Secretary
Myanmar Investment Commission

Reference. No.
Date.

According to Myanmar Investment Rule 28, I hereby summit the Investment

Screening Form to the commission by disclosing the following information for non-

binding guidance on whether my proposed investment is of the kind:

Whether investment activities which required to submit a proposal or not

Whether investment activities likely to be submitted to the Pyidaungsu

Hluttaw for approval prior to the issue of the Permit or not

Whether the investment activities are allowed to carry out by Government

only or restricted to foreign investors or allowed only in form of joint

venture with a citizen owned entity or a citizen of Myanmar or permitted

with the recommendation of the relevant ministries or not.

Whether the investment activities include in promoted investment sector

with respect to tax exemptions and reliefs or not

Whether Prohibited Investment Activities or not

Others

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1. The Investor’s:
(a) Name
(b) National Registration Card No./Passport No.
(c) Citizenship
(d) Address:
(e) Phone/ Fax:
(f) E -mail address
2. If the investor doesn’t summit for the investment screening form by himself/
herself, the applicant’s;
(a) Name
(b) Name of Contact Person
(In case applicant is business organization)
(c) National Registration Card No. / Passport No.
(d) Citizenship
(e) Address in Myanmar:
(f) Phone / Fax:
(g) E-mail:
3. Particulars of Company Incorporation
(a) Authorized Capital and Share Ratio
(i) Amount of Authorized Capital of Investment Business
(ii) Foreigner %, Citizen %,
Government Department/Organization %
(b) Describe regarding to the Type of Investment Business to be invested in
detail-

(c ) Location(s) to be invested
(Describe all locations of investment if it is more than one)

(d) Size and Amount of Investment Project

(e) Investment Area (Total Land Area)
(f) Type of Land of Investment and Current Administrator
(g) Land or Building Lease Period/ Used Period
 (h) Whether it is sub-leased from the following person in regarding to
Land Lease or not-
Person who has the rights to use the land or building of the
Government from Government Department and Organization in
accordance with the national laws.
Authorized Person to get the Sub License or Sub Lease of the

building or land owned by the Government in accordance with

the permission of the Government department and Organization.

(i) Land Expropriation or regarding investment, displacement of local

people or against the will of the people who are using the land
Yes No
If it has, describe the number of person impacted

(j) Investing across border of the Nation

Yes No
(k) Investing across border of the State or Region
Yes No

4. I hereby do submit and sign to send the other related documents/

information other than the above.

Signature
Name of applicant
Designation

Date...................................