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MEMBERSHIP APPLICATIONWe are pleased that you have taken the step to be part of Malaysia’s longest establishedbusiness chamber. There are four purpose categories of membership plus, AdvocacyMembership, Branding Membership and Association Membership.ADVOCACY MEMBERSHIPAny company or commercial entity registered and authorized to carry out business in Malaysia.This membership purpose is for collective specific objectives of advocacy, representation andengagement of a defined segment. It can be for pre and post-secretariat or business associationincubation. MICCI if necessary, will create a Focus Group for their purposes.BRAND MEMBERSAny company or commercial entity registered and authorized to carry out business in Malaysiaor a foreign country. This membership purpose is for the objectives of promoting member’sproduct and/or services leveraging on MICCI’s media platforms, webinars, e-roundtables,networking and various events.BUSINESS ASSOCIATION MEMBERSAny associations or societies or groups registered and authorized to carry out activities inMalaysia or a foreign country. This membership purpose is to leverage on MICCI for a strong orbetter presence for advocacy, representation and engagement. This membership may beentitled to join the Federation of Malaysian International Chambers of Commerce and Industries.For cost optimisation, secretariat services and business address may be provided.CUSTOMISED MEMBERSHIPThere may be specific needs that a member requires and MICCI will, where possible tailor yourmembership requirements.ANNUAL SUBSCRIPTIONAs membership plus requirements are customised to suit, subscriptions will be provided via aseparate quotation.NOTE ON FOREIGN ENTITIESA Foreign Member shall have the like rights and duties of an Ordinary Member save that it shallnot be entitled to vote at General Meetings of the Chamber nor, unless invited, be appointed orelected as a member of the General Committee.
APPLICANT DECLARATIONTo: Malaysian International Chamber of Commerce and Industry (MICCI)I / We(Name of Company, Partnership, Sole Proprietor. Association or Society)desire to become a member of the Malaysian International Chamber of Commerce andIndustry. My / Our particulars are given on the following pages of this application form.I / We undertake, if elected, to be bound by the Memorandum and Articles ofAssociation of the Chamber.Yours faithfully,.Signature / Name / DesignationCompany Stamp & DateProposed bySeconded by(Name MICCI Ordinary Member)(Name of MICCI Ordinary Member) Signature / Date . . . . . Signature / DatePDPA COMPLIANCE: Under the Personal Data Protection Act (PDPA) 2010, we are required to obtain your explicit consent when wecollect and process your personal data. We collect your personal data in order to assess your application and to administer the servicesthat you have signed up for and to respond to your enquiries and complaints, and to resolve issues related to the business offered. If youhave any questions regarding the processing of your personal data, please contact us at micci@micci.com.
APPLICATION FORM* All FIELDS ARE REQUIRED TO BE COMPLETED.1.PLEASE ATTACHYOUR BUSINESS CARDHERERegistered Name of company, business, etc.,Trade Name(Please where applicable)[[] Public Limited] Sole Proprietorship[[] Private Limited] Association or Society[[] Partnership] Others2.Company or Business Registration Date & Number (New and Old):Old NumberNew Number(Please refer to the following notes)(a) Date and number of certificate of incorporation in Malaysia under the Companies Act or in the case of an association orsociety, the date and number of certificate of registration under the Societies Act. OR(b) Date and number of certificate of registration as a foreign company, in Malaysia under the Companies Act. OR(c) If a partnership or sole proprietorship, give date and number of certificate of registration in Malaysia under the Registrationof Businesses Ordinance or any other law applicable to the business of the applicant.3.Names and Title of Chief Executive in Malaysia (Primary Contact)Name:Designation:E-mail:Mailing Address:Co. Tel:Co. FaxMobile No.Co. E-mail:Co. Website:
Name (Secondary Contact, Finance Contact for Billing):Name:Designation:E-mail:Co. Tel:Co. FaxMobile No.Name ( Marketing or Communications Contact):Name:Designation:E-mail:Co. Tel:Co. FaxBusiness Sector Classification (please where applicable)4.[[] Agriculture] Services[[] Manufacturing[ ] Mining] Not for Profit, Associations or Social Enterprise5. Business Sub-Sector Classification (please where applicable)[[[[[[[[[[] Accountancy/Financial] Agriculture/Plantations] Automotive] Banking/Insurance] Consultancy/Business Services] Chemicals/Minerals] Construction/Engineering] Education/Training] Electrical/Electronics] Energy/Utilities[[[[[[[[[[] Food/Beverages] Hotels/Tourism] ICT/Communications] Legal] Machinery/Equipment] Media/Advertising] Metal Manufacturers] Non Metallic Manufacturers] Oil/Gas/Petrochemicals] Pharmaceuticals/Medical6. Description of Principal Business Activities:[[[[[[[[] Ports/Logistics] Property/Real Estate] Retail/Wholesale] Rubber/Wood Products] Textiles/Garments] Trading (Import/Export)] Transport] Others (Unspecified)
7. Authorized Capital (RM):Issued Capital (RM):No. of Employee(s):*Authorized Capital and Issued Capital (state in Foreign Currency if Foreign entity) as reported with theCompanies Commission of Malaysia or Foreign Country Registration Regulators.8. List of shareholders / partners / directors holding more than 5% equity by nationality & equity holding(Add separate sheet if needed):NameNationality% Equity HoldingFor MICCI’s record only.Record #Month/Year JoinedCategoryRegionRemarks
There are four purpose categories of membership plus, Advocacy Membership, Branding Membership and Association Membership. ADVOCACY MEMBERSHIP Any company or commercial entity registered and authorized to carry out business in Malaysia. . 1/11/2022 3:37:02 AM .
