Corporate Membership Application Form

Applicant's Information

Name of Company:
Registered Address:
Date of Incorporation:
Name of Building / Complex Representing:
Correspondence Address:
Telephone No:
Fax:
Email:
Gross Build Up Area (sq ft):
Nett Lettable Area (sq ft):

Appointed Representative

Name of Appointed Representative:
NRIC Number:
Date of Birth:
Place of Birth:
Race:
Sex:
Nationality:
Marital Status:
Office Tel. No.:
Fax:
Handphone No.:
Email:
Designation:
Nature of Work:
No of Years With Company:
Academic Qualification:

Alternate Representative

Alternate Name:
NRIC Number:
Date of Birth:
Place of Birth:
Race:
Sex:
Nationality:
Marital Status:
Office Tel. No.:
Fax:
Handphone No.:
Email:
Designation:
Nature of Work:
No. of Years With Company:

breathing new life banner

24th August 2017
Sunway Resort Hotel & Spa, Petaling Jaya

Registration is Now Open