Vendor Registration Form
Please provide the appropriate information in the fields displayed below.
While all of the information below is important, your email address will become the primary identifier for the registration.
Please be sure to enter it correctly. We will use your email address for future communication with you.
PART A : COMPANY INFORMATION
* Company Name :
* Company Registration No :
* Contact Person :
* Email :
* Bumi Status? :
 
* Company Address :
* Postcode :
* State :
* Country :
* Tel No :
* Fax No :
* Type :  Supplier    Contractor
 
PART B : FINANCIAL INFORMATION
* Company Bank :
* Bank Account No :
* Bank Branch :
* Authorize Capital : RM  (Ex: 120000)
* Paid Up Capital : RM  (Ex: 120000)
Swift Code :
 
PART C : CERTIFICATION DETAILS
PKK Elect. Class :
PKK Elect. Reg. No : PKK(E) Expired Date : 
PKK Civil Class :
PKK Civil Reg. No : PKK(C) Expired Date : 
Kem Kew Reg. No : Kem Kew. Expired Date : 
CIDB Reg. No : CIDB Expired Date : 
 
PART D : LICENSE INFORMATION
* License Type :
* Jobscope :