COMPANIES ACT 2016

Section 27(1)(4) 27(1)(4)

APPLICATION AND RESERVATION FOR AVAILABILITY OF
NAMES
PARTICULARS OF APPLICATION

Proposed Company Name

-
Lodging Ref No
N –NEW INCORPORATION
Purpose of Application
S – LIMITED BY SHARES
Company Type

PARTICULARS OF APPLICANT

Applicant Name

Identification Number

Address

Email Address

Mobile Phone Number

Phone Number

Fax Number

CLARIFICATION
Eg: ABC stand for Air Batu Campur (max character is 255)
1) Single letters included in the name stand for?
Eg: “Oishi” stands for delicious in Japanese (max characters is 255)
2) If the proposed name is not in Bahasa
Malaysia or English, please clarify.
Eg: Felix is the name of promoter son (Birth certificate attach) (max characters is 255)
3) If the proposed name contains a proper name,
state whether it is the name of a director of the
company or the proposed company.
Eg: Consent letter / resolution from Serajaya Group Berhad is attached (only 1 attachment,
4) If the proposed name is similar to that of a
not more than 3MB)
related or associated corporation **, state
whether written consent has been obtained from
the said corporation (please attach consent).
Eg: Consent from Adidas Group of Companies is attached for the use of ADIDAS word (only
5) If the proposed name is a trademark, state
1 attachment, not more than 3MB)
whether consent has been obtained from the
owner (please attach consent).
Eg: Authority letter; Letter of explanation, etc and comments (only 1 attachment, not more
6) If proposed name is to be used for change of
than 3 MB)
name of a corporation, please give the
following :

Existing Company Name :

Company Number:

7) Business Nature

8) Other comments

PROMOTER

Promoter Name/Body Corporate Identification Type Identification No/Registration No Date of Birth Email Address
NRIC

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DECLARATION SECTION

I confirm that the facts and information stated in this document are true and to the best of my knowledge.

Attention:
It is an offence under section 591 of the Companies Act 2016 to make or authorize the making of a statement that a person knows is
false or misleading and that person may be liable, upon conviction, to imprisonment for a term not exceeding ten years or to a fine
not exceeding RM3 million or to both.

LODGER INFORMATION

Name

Identification Number
(Professional body type where the lodger belongs to such as MIA, MAICSA, etc)
Prescribed Body Type
License number / membership number of lodger
License Number/Membership Number

Address

Email

Mobile Phone Number

Phone Number

Fax Number

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