Business Individual

Business Particulars
*Registered Name:
*Identity Type:
*Registration Number:
*Wholly Owned By Malay:
*Address:
*Postcode:
*Telephone Number:
(e.g. 0345678901)
Mobile Number:
(e.g. 0123456789)
*City:
*Country:
Fax Number:
*Email:
*Bank Name:
*Account Number:
Representative Details
*Identity Type:
*Name:
*ID Number:

(e.g. 841206-12-3456)
*Mobile Number:
(e.g. 0123456789)
*Email:
Security Question
*Security Question:
*Security Answer:

* For verification purposes, please attach relevant documents (e.g. Form 49, Business Registration Form).

Attach File
(.jpg, .jpeg, .png, .gif, .pdf, Max. 2MB)