Borang Penubuhan Syarikat Sendirian Berhad

SDN BHD COMPANY INCORPORATION FORM
1. COMPANY NAME
Please fill in the following information, in the spaces marked with (*) are required by the applicant.
1.1. First Company Name*
1.2. Second Company Name*
1.3. Third Company Form*
1.4. Why Choose the Company Name
1.5. Authorised Capital of the proposed Company (RM)
1.6. Paid-up Capital of the proposed Company (RM)
2. PARTICULARS OF COMPANY DIRECTORS (COMPULSORY)
2.1. NAME OF FIRST DIRECTOR*
IDENTITY CARD*
GENDER

MaleFemale
NATIONALITY
DATE OF BIRTH
PHONE NUMBER

Area CodePhone Number
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
2.2. NAME OF SECOND DIRECTOR*
IDENTITY CARD*
GENDER

MaleFemale
NATIONALITY
DATE OF BIRTH
PHONE NUMBER

Area CodePhone Number
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
2.3. NAME OF THIRD DIRECTOR - OPTIONAL IF ANY
IDENTITY CARD
GENDER

MaleFemale
NATIONALITY
DATE OF BIRTH
PHONE NUMBER

Area CodePhone Number
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
3. PARTICULAR DETAILS OF SHAREHOLDERS
3.1. NAME OF FIRST SHAREHOLDERS*
IDENTITY CARD*
GENDER

MaleFemale
NATIONALITY
DATE OF BIRTH
PHONE NUMBER

Area CodePhone Number
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
3.2. NAME OF SECOND SHAREHOLDERS*
IDENTITY CARD*
GENDER

MaleFemale
DATE OF BIRTH
PHONE NUMBER

Area CodePhone Number
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
3.3. NAME OF THIRD SHAREHOLDERS
IDENTITY CARD
GENDER

MaleFemale
NATIONALITY
DATE OF BIRTH
PHONE NUMBER

Area CodePhone Number
HOME ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
4. PROPOSED FIRST DIRECTORS
NAME
NRIC. NO.
NAME
NRIC. NO.
NAME
NRIC. NO.
5. PROPOSED SHAREHOLDER AND NUMBER OF SHARES TAKEN BY
NAME
NUMBER SHARES
% OF SHARES
NAME
NUMBER SHARES
% OF SHARES
NAME
NUMBER SHARES
% OF SHARES
6. PERSON TO CONTACT
6.1 NAME
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
PHONE NUMBER

Area CodePhone Number
E-mail
6.2 NAME
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail
7. PROPOSED BUSINESS ADDRESS SITUATED
8. PREFERRED BANK
PREFERRED BANK
Should be Empty:

SDN BHD COMPANY INCORPORATION FORM