MEMORANDUM of UNDERSTANDING (Mous) OR AGREEMENT

CONFIDENTIAL

LAMPIRAN I

REGISTRATION FORM FOR

MEMORANDUM OF UNDERSTANDING (MoUs) OR AGREEMENT

A. DETAILS OF MALAYSIAN COMPANY

1. Name of Malaysian Company & Address:

………………………………………………………………………………………………………………………………………………………………………………………………

2. Particulars of Malaysian Company*:

a) Authorised Capital: (please attach ROC Form 24)

………………………………………………………………………………………

b) Paid-up Capital:

………………………………………………………………………………………

c) Date of Incorporation:

………………………………………………………………………………………

d) Board of Directors: (please attach ROC Form 49)

………………………………………………………………………………………

Note : *This section need not be completed if a copy of the annual report is attached.

Please attach a copy of the latest companies’ available annual report.

e) Company’s business activities:

………………………………………………………………………………………

f) Address of branch office overseas and contact person (if any):

………………………………………………………………………………………

g) Name of major projects completed in Malaysia and overseas:

………………………………………………………………………………………

h) Name of existing major projects/investments in Malaysia and overseas:

………………………………………………………………………………………

3. Contact person in Malaysia:

Name: ………………………………………………………………………………

Add: ………………………………………………………………………………

Phone: ………………………………………………………………………………

Fax: ………………………………………………………………………………

Email: ………………………………………………………………………………

B. DETAILS OF FOREIGN COMPANY/PARTNER

4. Name of Foreign Company & Address:

5. Particulars of Foreign Company/Partner*:

a) Authorised Capital: ………………………………………………………………………………………

b) Paid-up Capital:

………………………………………………………………………………………

c) Date of Incorporation:

………………………………………………………………………………………

d) Board of Directors:

………………………………………………………………………………………

e) Business activities:

………………………………………………………………………………………

f) Name of major projects/investments undertaken or underway:

………………………………………………………………………………………

C. DETAILS OF MOU/AGREEMENT

6. Nature of MoU or Agreement. Please tick appropriate box (es):

( ) To undertake feasibility study

( ) To do Joint Venture for particular project

( ) To establish join-venture company

( ) For technology transfer & cooperation

( ) On technical assistance

( ) On sales and marketing arrangements

( ) On assembling & distribution of products

( ) On purchase of property, hotel, resort

( ) To develop infrastructure facilities and construction

( ) On privatisation of selected company

( ) On procurement of products & services

( ) Others (please specify) ………………………………………………………….

………………………………………………………………………………………

7. Brief description of proposed investments/project/joint ventures/business activities:

………………………………………………………………………………………………

8. Estimated cost of the project:

………………………………………………………………………………………………

9. Proposed financing. Please tick appropriate box (es):

( ) Domestic

( ) Foreign

( ) Off-shore

10. Time-frame for the validity of the MoU/Agreement:

………………………………………………………………………………………………

11. Name other MoUs/Agreements signed in the past and indicate its status:

………………………………………………………………………………………………

12. Please attach a copy of the MoU/Agreement to be signed.

………………………………………….

Signature

Name: ……………………………………………….

Designation: ……………………………………………….

Note: The completed registration form must be signed by the Chief Executive Officer/Managing Director of Company Secretary and returned to:-

Secretary General

Ministry of International Trade and Industry

Block 10, Government Offices Complex

Jalan Duta

50622 Kuala Lumpur.

(Attn. : Senior Director

Economic and Trade Relations Division)

Ministry of International Trade and Industry

31-1-26/si/har/Disk.3.81/MoU Agreement.(31-1-64).

CONFIDENTIAL