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21Filing Charge: RM 2 UPM/FEP/Sem2/2021-2022/Bil……

BUSINESS REGISTRATION FORM


(Submitted with BMC)
Company Name: laSTop
Product/Service Brand Name: Bookmark
Business Establishment Date: ..................... Ending Business Date: ................................
MGM3180 Group No.: 3 Semester and Session: 1
Name dan Personal Information of Owners:
Matric
No. Owner’s Name Program H/P No.
No.
MUHAMMAD SYAZWAN BIN BACHELOR OF
1 215935 019-9408468
AZHAR ECONOMICS
MUHAMMAD HAKIEMI BIN BACHELOR OF
2 215797 019-5485943
NAZRUL HISYAM ACCOUNTING
BACHELOR OF
3 215444 LEE VON HUEY 010-8826989
ECONOMICS
BACHELOR OF
4 215452 LAVANYAA A/P MURUGAN 018-7754528
ECONOMICS
NOELL A/P ABRAHAM BACHELOR OF
5 216025 011-62122452
LINGAN ECONOMICS
NORSHAFIKA BINTI MOHD BACHELOR OF
6 216129 0193435580
JUL ECONOMICS
NIK MUHAMMAD IRFAN BIN BACHELOR OF
7 216018 011-11452917
NIK MOHD AMIRUDDIN ECONOMICS
8 215851 MUHAMMAD KHAIRIL ANAS BACHELOR OF 017-6385265

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BIN ABDUL RAHIM ECONOMICS
MUHAMMAD AKMAL BIN BACHELOR OF
9 215679 011-21023490
MOHD DESA ECONOMICS
BACHELOR OF
10 215476 LINDA LIONG CHAI PHING 011-3568-0911
ECONOMICS
BACHELOR OF
11 215521 LOY SONG HUI 01136043839
ECONOMICS

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Effective date and duration of business: ..............................................

Type of product in business operation

Food

// Non Food

Service

Others (please state): ..........................................................

Type of business operation

Production/Manufacturing

Trading (Purchase and resell)

Service

Others (please state) (e.g., onlne business, home-based business,

etc.): ............................................................................................

Brief description about business product/ service.

............................................................................................................................................................

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Brief description on creativity and type of innovation (value added) in the proposed business.

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Brief description on the commercial value (viability of the business) for the above product/
service.

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Customer target/ segmentation

1) ..............................................................................................................................
2) ..............................................................................................................................
3) ..............................................................................................................................
4) ..............................................................................................................................

Starting contribution per owner: RM ................. Total: RM ................

Expected profit per owner: RM ................. Total: RM ................

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Business location and related authority for approval:

No Location Authority Entity

Business registration status with CEM UPM:


…………………………………………………………………………………………………

Contact supplier(s) and purpose:


1) ……………………………………………………………………………………
2) ……………………………………………………………………………………
3) ……………………………………………………………………………………
4) ……………………………………………………………………………………

Equipment/ Furniture/ Physical asset/ Material/ others needed:


1) ……………………………………………………………………………………
2) ……………………………………………………………………………………
3) ……………………………………………………………………………………

I, ……………………………………... declare that all the stated above and Business Model
Canvas is accurate and true until this date.

Signature of owner’s representative: …………………………………. Date: …….…………

Signature and stamp of lecturer: ………………………………….…… Date: …….…………

* 2 copies: Student and Lecturer

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BUSSINESS MODEL CANVAS (BMC)

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