Form A

REGISTRATION OF BUSINESS RULES 1957

[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

(* Mandatory Field)

NAME APPROVAL NO. EB-A2022092001447

I/We the person(s) responsible submit for registration of the following particulars regarding the under-mentioned business.

INFORMATION OF BUSINESS (* Mandatory field)

1. * BUSINESS NAME HH AGROFARM TRADING

2. A) * DATE OF COMMENCEMENT OF BUSINESS 20/09/2022 B) * REGISTRATION 1 YEARS

(dd/mm/yyyy) PERIOD
3. * PARTNERSHIP AGREEMENT NO DATE
(If yes, upload the copy of agreement) (dd/mm/yyyy)
4. ADDRESS OF PRINCIPAL PLACE OF BUSINESS LOT 2724 KAMPUNG BAROKHAS
MUKIM BELIMBING KANAN
06300 KUALA NERANG KEDAH
TOWN KUALA NERANG

POSTCODE 06300

STATE KEDAH

5. * TELEPHONE 01163773374 FAX

6. E-MAIL hishamhashim1989@gmail.com

7. CORRESPONDENCE ADDRESS LOT 2724 KAMPUNG BAROKHAS

(if different from above) MUKIM BELIMBING KANAN
06300 KUALA NERANG KEDAH

TOWN KUALA NERANG

POSTCODE 06300

STATE KEDAH
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

INFORMATION OF BRANCHES (* Mandatory field)

* NO OF BRANCHES 0

NO BRANCH ADDRESS TOWN POSTCODE STATE

INFORMATION TYPE OF BUSINESS (* Please fill in at least 1)

BUSINESS DESCRIPTION

PERTANIAN , PERIKANAN DAN PENTERNAKAN , MEMBEKALKAN BARANGAN PERTANIAN SEPERTI

SAYUR-SAYURAN DAN BUAH-BUAHAN, MENJUAL PRODUK BAJA DAN VITAMIN POKOK DAN
SAYURAN MELALUI INTERNET, PEMPROSESAN DEDAK UNTUK PERIKANAN DAN
PENTERNAKAN,MENJUAL BINATANG TERNAKAN SEPERTI LEMBU,AYAM,ITIK DAN KAMBING.

NO BUSINESS TYPE (CODE) DESCRIPTION

47912 JUALAN RUNCIT SEBARANG JENIS PRODUK MELALUI INTERNET
1 (RETAIL SALE OF ANY KIND OF PRODUCT OVER THE INTERNET)

01500 PERTANIAN CAMPURAN

2 (MIXED FARMING)

01610 AKTIVITI PERTANIAN UNTUK PENGELUARAN TANAMAN

3 BERASASKAN YURAN ATAU KONTRAK
(AGRICULTURAL ACTIVITIES FOR CROPS PRODUCTION ON A FEE OR
CONTRACT BASIS)

01620 AKTIVITI PERTANIAN UNTUK PENGELUARAN TERNAKAN

4 BERASASKAN YURAN ATAU KONTRAK
(AGRICULTURAL ACTIVITIES FOR ANIMAL PRODUCTION ON A FEE OR
CONTRACT BASIS)

46209 JUALAN BORONG BAHAN MENTAH PERTANIAN DAN HAIWAN HIDUP

5 T.T.T.L.
(WHOLESALE OF AGRICULTURAL RAW MATERIAL AND LIVE ANIMAL
N.E.C.)

46531 JUALAN BORONG JENTERA, KELENGKAPAN DAN BEKALAN

6 PERTANIAN
(WHOLESALE OF AGRICULTURAL MACHINERY, EQUIPMENT AND
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

SUPPLIES)

77305 PENYEWAAN DAN PEMAJAKAN OPERASI JENTERA DAN

7 KELENGKAPAN PERTANIAN DAN PERHUTANAN TANPA PENGENDALI
(RENTING AND OPERATIONAL LEASING OF AGRICULTURAL AND
FORESTRY MACHINERY AND EQUIPMENT WITHOUT OPERATO

01131 PENANAMAN SAYUR-SAYURAN BERDAUN ATAU BERBATANG

8 (GROWING OF LEAFY OR STEM VEGETABLES )

01132 PENANAMAN SAYUR-SAYURAN BERBUAH

9 (GROWING OF FRUITS BEARING VEGETABLES)

01136 PENANAMAN SAYUR-SAYURAN LAIN

10 (GROWING OF OTHER VEGETABLES)

01138 PENANAMAN TUMBUHAN BERAKAR, UBI-UBIAN, BEBAWANG ATAU

11 SAYUR-SAYURAN BERUBI
(GROWING OF ROOTS, TUBERS, BULB OR TUBEROUS VEGETABLES)

10301 PEMBUATAN PRODUK MAKANAN BUAH-BUAHAN DAN SAYUR-

12 SAYURAN
(MANUFACTURE OF FRUITS AND VEGETABLES FOOD PRODUCTS)

10404 PEMBUATAN MINYAK SAYURAN MENTAH DAN BERTAPIS

13 (MANUFACTURE OF CRUDE AND REFINED VEGETABLE OIL)

46314 JUALAN BORONG SAYUR-SAYURAN

14 (WHOLESALE OF VEGETABLES)

46319 JUALAN BORONG DAGING, IKAN, BUAH-BUHAN DAN SAYUR-

15 SAYURAN T.T.T.L.
(WHOLESALE OF MEAT, FISH, FRUITS AND VEGETABLES N.E.C.)

47212 JUALAN RUNCIT SAYUR-SAYURAN DAN BUAH-BUAHAN YANG

16 SEGAR ATAU DIAWET
(RETAIL SALE OF FRESH OR PRESERVED VEGETABLES AND FRUITS)

03215 AKTIVITI AKUAKULTUR AIR PAYAU

17 (AQUACULTURE ACTIVITIES IN BRACKISH WATER)

03216 AKTIVITI AKUAKULTUR DI DALAM TANGKI AIR ATAU TAKUNGAN

18 MASIN
(AQUACULTURE ACTIVITIES IN SALT WATER FILLED TANKS OR
RESERVOIRS)

03229 AKUAKULTUR AIR TAWAR T.T.T.L.

19 (FRESHWATER AQUACULTURE N.E.C.)
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

01411 PENTERNAKAN, PEMBIAKAN DAN PENGELUARAN LEMBU ATAU

20 KERBAU
(RAISING, BREEDING AND PRODUCTION OF CATTLE OR BUFFALOES)

01441 PENTERNAKAN, PEMBIAKAN DAN PENGELUARAN BIRI-BIRI DAN

21 KAMBING
(RAISING, BREEDING AND PRODUCTION OF SHEEP AND GOATS)

01461 PENTERNAKAN, PEMBIAKAN DAN PENGELUARAN AYAM, AYAM

22 DAGING
(RAISING, BREEDING AND PRODUCTION OF CHICKEN, BROILER)

01462 PENTERNAKAN, PEMBIAKAN DAN PENGELUARAN ITIK

23 (RAISING, BREEDING AND PRODUCTION OF DUCKS)

01464 PENTERNAKAN, PEMBIAKAN DAN PENGELUARAN BURUNG PUYUH

24 (RAISING, BREEDING AND PRODUCTION OF QUAILS)

01495 PENTERNAKAN LEBAH DAN PENGELUARAN HASIL MADU DAN LILIN

25 LEBAH
(BEE KEEPING AND PRODUCTION OF HONEY AND BEESWAX)

01499 PENTERNAKAN PELBAGAI/HAIWAN LAIN T.T.T.L.

26 (RAISING OF DIVERSE/OTHER ANIMALS N.E.C.)

45103 JUALAN KENDERAAN INDUSTRI, KOMERSIAL DAN PERTANIAN -

27 BARU
(SALE OF INDUSTRIAL, COMMERCIAL AND AGRICULTURE VEHICLES
- NEW )

45104 JUALAN KENDERAAN INDUSTRI, KOMERSIAL DAN PERTANIAN -

28 TERPAKAI
(SALE OF INDUSTRIAL, COMMERCIAL AND AGRICULTURE VEHICLES
- USED )

SUBMISSION DATE 21/09/2022

(dd/mm/yyyy)
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

INFORMATION OF OWNERS (* Mandatory field)

1.*NAME OF OWNER MOHD HISHAM BIN HASHIM

2. *DATE OF BIRTH 25/04/1989
(dd/mm/yyyy)
3. *NATIONALITY MALAYSIAN
IF PERMANENT RESIDENT, STATE
COUNTRY OF ORIGIN
4. *PERSONAL OLD 5.*COLOUR BLUE
IDENTIFICATION
NO
MYKAD 890425016233
MYPR

PASSPORT

POLICE

ARMY

6.*SEX Male
7.*RACE MELAYU
8.*RESIDENTIAL ADDRESS LOT 2724
KAMPUNG BAROHKAS
BELIMBING KANAN
9.*TOWN KUALA NERANG

10.*POSTCODE 06300

11.*STATE KEDAH

12.TELEPHONE 01163773374 FAX

13.E-MAIL hishamhashim1989@gmail.com
14.*OWNERSHIP PARTNERSHIP
SUBMISSION DATE 21/09/2022
(dd/mm/yyyy)
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

1.*NAME OF OWNER MOHAMAD AFIF BIN ABDUL RAZAK

2. *DATE OF BIRTH 19/12/1991
(dd/mm/yyyy)
3. *NATIONALITY MALAYSIAN
IF PERMANENT RESIDENT, STATE
COUNTRY OF ORIGIN
4. *PERSONAL OLD 5.*COLOUR BLUE
IDENTIFICATION
NO
MYKAD 911219025649
MYPR

PASSPORT

POLICE

ARMY

6.*SEX Male
7.*RACE MELAYU
8.*RESIDENTIAL ADDRESS 3028 TAMAN DESA KENANGAN
06300 KUALA NERANG
KEDAH
9.*TOWN KUALA NERANG

10.*POSTCODE 06300

11.*STATE KEDAH

12.TELEPHONE 01137750469 FAX

13.E-MAIL boomadz.fqs21@gmail.com
14.*OWNERSHIP PARTNERSHIP
SUBMISSION DATE 21/09/2022
(dd/mm/yyyy)
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

VERIFICATION BY OWNER/PARTNER(S) (* Mandatory field)

I/We confirm the accuracy of all the statements made in the form and declare that I/We am/are the owner/partner(s) of
the business the name of which is
HH AGROFARM TRADING

* NAME MOHD HISHAM BIN HASHIM

* PERSONAL IDENTIFICATION NO. 890425016233 * COLOUR BLUE

* ADDRESS LOT 2724

KAMPUNG BAROHKAS
BELIMBING KANAN
TOWN KUALA NERANG

POSTCODE 06300

STATE KEDAH

* E-MAIL hishamhashim1989@gmail.com
* TELEPHONE 01163773374
FAX
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2022092001447

VERIFICATION BY OWNER/PARTNER(S)

NO. NAME IDENTITY CARD NO COLOUR SIGNATURE

1 MOHD HISHAM BIN HASHIM 890425016233 BLUE hishamhashim1989@gmai
l.com

2 MOHAMAD AFIF BIN ABDUL RAZAK 911219025649 BLUE boomadz.fqs21@gmail.co

m