Business Enquiry Form

i. Company Information

Local company

Foreign company

Company Name

Registration Type

Company Country (applicable for foreign company)

Paid up capital

ii. Nature of Business

Existing business registered address

Existing business factory address

Total of Company Investment (as at 2022) =

Fix Asset + Working Capital

Sector

Domestic

Export

Established Since

Company Website

iii. Chief Executive Information

Name

Designation

Contact Information (Phone/ email address)

iv. Investment Query

Service Required

Land

Finance

Recruitment Package

Energy & Utilities

Investment Value (Estimated RM)

Project kickstart (Target)

Quarter _____ Year 20_____

Project completion (Target)

Quarter _____ Year 20_____

v. Others

Have you approached MITI/MIDA or any government related bodies regarding this investment previously? If yes, please specify when and outcome of the proposal

Please upload company profile/ project information (zip or rar only)

Maximum file size: 10MB

Final Acknowledgment and Consent:

I, the undersigned applicant, confirm the accuracy and completeness of the information provided. I grant your company permission to use this information for business inquiries and subsequent communication with me. I also consent to the sharing of this information with relevant government entities or third parties for the purpose of processing the investment inquiry. I understand that my data will be handled in accordance with applicable laws and privacy policies. I acknowledge your company's right to modify or delete my submitted information. I retain the right to request access, correction, or deletion of my personal data. By signing below, I agree to all the terms and conditions stated herein.

I agreed

If you are human, leave this field blank.

Date	: 12^th Oct 2023 (Thursday)
Time	: 1.45 pm – 4.00 pm
Venue	: Ballroom, Courtyard by Marriott
Entrance fee	: RM 150 (JCI Natcon Delegates FOC)