Registration – UniKL VMS

SECTION : COMPANY INFORMATION

Company Name

Bumiputera Company?

Company Official Email

Person In Charge

Registered Address

Postcode

City

State

Country

Office No.

Fax No

Website

The mailing address is the same as listed above

Correspondence Address

Postcode

City

State

Country

Preferred Location of Supply / Service / Job

UniKL Campus Central Zone (Klang Valley)

UniKL Campus North Zone (Perak, Kedah)

UniKL Campuse South Zone (Melaka, Johor)

Business Status

SECTION: BRANCH ADDRESS (if any)

Branch address

Postcode

City

State

Country

Office Phone No.

Fax No.

Address	Phone No / Fax No	Action

SECTION: REGISTRATION OF STATUTORY BODIES AND OTHERS

KWSP

PERKESO

Income Tax

Zakat (RM)

SECTION: SSM CERTIFICATE

Company / Business Registration No.

Registration Date

End Date

Upload Attachment

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SECTION: CERTIFICATE OF MINISTRY OF FINANCE

Ministry of Finance (MOF) Certificate?

Ministry of Finance Certificate No.

Registration Reference No.

Start Date

Expiry Date

Upload Ministry of Finance (MOF) Certificate

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Bumiputera ?

Certificate No. Ministry of Finance (Bumiputera)

Registration Reference No (Bumiputera)

Start Date

Expiry Date

Upload Ministry of Finance (MOF)-Bumiputera Certificate

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Code MOF

Code MOF	Action

SECTION: CIDB CERTIFICATE

CIDB Certificate?

CIDB Registration No

Start Date

Expiry Date

Upload CIDB Certificate

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Bumiputera ?

Bumiputera Status Certificate (STB) No.

Start Date

Expiry Date

Upload CIDB-Bumiputera Certificate

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Grade

Category

Pengkhususan

Grade	Category	Specialization	Action

SECTION: OTHER REGISTRATION

List of Other Registrations (please enclose a copy of registration)

TYPE OF REGISTRATION UPLOAD APPENDIX

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SECTION: EMPLOYEES

Number of Staff / Employees: Malay Chinese Indian Others

1. Management / Professional Group

2. Skilled / Technical Workers

SECTION: BUILDING

Owned building.

TYPE

SECTION: MACHINE / EQUIPMENT

Types of machines / equipment owned.

TYPE NUMBERS

SECTION: VEHICLES

Owned vehicles

TYPE / MODEL REGISTRATION NO

Authorized Company Capital (RM)

Paid-up Capital (RM)

Revolving Capital (RM)

Type of Facilities Value (RM) Bank

1. Overdraft

2. Letter of Guarantee

3. Fixed Deposit

4. Others

State the names of government bodies, statutory bodies or private companies that you have registered
(enclose a copy of the registration)

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Work Contract / Service / Supply Supplier ever implemented: (please enclose copy of work order / Letter of Award (LOA) / Purchase Order PO)

Type of work Year Company / Department Contract Amount (RM)

(PLEASE CHOOSE THREE MAIN ACTIVITIES ONLY)

Work Contractor

Background of Work Contractor	Action

Supply

Background of Supply	Action

Service

Background of Service	Action

Acknowledgment:
I / we on behalf of the company mentioned above acknowledge that all the details that I / we have stated above are true and correct to the best of our knowledge.