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COMPANIES ACT 2016

Section 14
APPLICATION FOR REGISTRATION OF A COMPANY
PARTICULARS OF COMPANY

Proposed company name

Lodging Reference No
N-NEW INCORPORATION
Purpose
S –LIMITED BY SHARES
Company Type
SDN. BHD.
Sub Type

General nature of business MSIC Code

Business Description

Registered Address

Email

Office No

Fax number

Business Address

Email

Office No

Fax number

PARTICULARS OF DIRECTOR

Director Name ID Type Identification No Nationality Date of birth Race Email

PARTICULARS OF MEMBER

Member Name ID Type Identification No Nationality Price per share Class of share Number of share

Total number of shares

Declaration

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

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.

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Lodger Information

(Individual/name of licensed company secretary-individual)


Name

NRIC
(Professional body type where the lodger belongs to such as MIA, MAICSA, etc)
Prescribed body
License number / membership number of lodger
License No/Membership No

Address

Phone No.

Email

Note:

Professional Type:

The following are the options available online:

 Malaysian Institute of Accountants (MIA)


 Malaysian Association of Company Secretaries (MACS)
 Malaysia Institute of Chartered Secretaries and Administration (MAICSA)
 Sabah Law Association (SLA)
 Malaysia Institute of Certified Public Accountants (MICPA)
 Licensed Secretary (LS)
 Bar Council (BC)

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