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CUSTOMER INFORMATION FORM

Company/ Business Owner


Name : ___________________________________________________________

NRIC : ____________________________________________________________

Company Name : ____________________________________________________________

Telephone : _________________________________________________
Mobile No. : _________________________________________________
Email Address : __________________________________________________
Office Address : ____________________________________________________________

____________________________________________________________

____________________________________________________________

Warehouse Address : __________________________________________________

Purchasing Department
Purchaser Name : _____________________________________________________________

Telephone : (Office) _______________________ (Fax) ______________________

Mobile No : (1) _______________________ (2) ______________________

Email Address : ___________________________________________________


Job Title : ___________________________________________________
Accounts Department
Accountant’s Name : __________________________________________________________

Telephone : (Office) _____________________ (Fax) ______________________

Mobile No : (1) _______________________ (2) ________________________

Email Address : _________________________________________________


Job Title : _________________________________________________

Type of Business
Please ( √ ) type of business :
1. Ingredient Shop :
2. Confectionary :
3. Bakery Shop :
4. Home - Bake :
5. Academy :
6. Trading :
7. Cafe :

Registration Form
Please ( √ ) ;
I. SSM / Form 9 :
II. Form 24 :
III. Form 44 :
IV. Form 49 :
V. Companies Act (Section 58) :

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