VENDOR REGISTRATION E-FORM

Please provide the following details if you wish to register as company vendor.

Note: The fields marked with (*) are required.

COMPANY DETAILS

Company Name *
Company Address *
Nature Business *
SSM Registration No.

Company Profile *

Copy of SSM Corporate Information *

List of Shareholders and Equity *

List of Names of Company's Director *

Anti-Bribery and Corruption Measures and
Compliance Letter, Vendor Conflict of
Interest Disclosure Form, Personal Data
Protection Act (PDPA) 2010 Form and
Preliminary Safety and Health Guidelines *

DETAILS OF INDIVIDUAL INCHARGE THE COMPANY REGISTRATION

Full Name *
Email *
Telephone Number *

DECLARATION

I hereby declare that details and information provided are true.