Name

Name of Firm

Business Reg. No.

Address

Tel

Fax

Email

Web Site

Branches/Associates

Name of Directors

Important:

1. RM 1,000 being annual subscription fee

2. Please bank in the payment to the following account
and fax us the bank in slip.

Bank : CIMB Bank
Account : MAICCI
Account No: 1402 000 1637 018

3. 2 (two)passport size photographs

4. Photo copy of business registration certificate, form 49 & Form 24