09:09:54 PM Tuesday, 19 March 2024
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Malaysian Rubber Board
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Associate Membership Application
Form No. II
Application For Associate Membership Of The
Malaysian Rubber Exchange
How to apply?
1.
Name of Applicant :
Company's Name
Official Address :
City :
State (for Malaysia only) :
-State-
Johore
Kedah
Kelantan
Malacca
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Sabah
Sarawak
Selangor
Terengganu
W.P. Kuala Lumpur
W.P. Labuan
W.P. Putrajaya
Country :
-Country-
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANTIGUA & BARBUDA
ARGENTINA
ARUBA
AUSTRALIA
AUSTRIA
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BOLIVIA
BOTSWANA
BRAZIL
BRUNEI DARUSSALAM
BULGARIA
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CHILE
CHINA, PEOPLE'S REPUBLIC OF
COLOMBIA
CONGO
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY, FEDERAL REPUBLIC OF
GHANA
GIBRALTAR
GREECE
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA, REPUBLIC OF
IRAN, ISLAMIC REP. OF
IRAQ
IRELAND
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA, DEM. PEOPLE'S REP. OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO, PEOPLE'S DEM. REP.
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAYSIA, PENINSULAR
MALDIVES
MALI
MALTA
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MONGOLIA, PEOPLE'S REP. OF
MOROCCO
MOZAMBIQUE
MYANMAR, UNION OF
NAMIBIA
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
OTHER COUNTRIES, NES.
PAKISTAN
PALESTINE
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION ISLANDS
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT LUCIA
SAMOA
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE, REPUBLIC OF
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOUTH AFRICA, REPUBLIC OF
SPAIN
SRI LANKA, REPUBLIC OF
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REP. OF
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE (HOLYSEE)
VENEZUELA
VIETNAM, SOCIALIST REP. OF
VIRGIN ISLANDS, BRITISH
WESTERN SAMOA
YEMEN, REPUBLIC OF
YUGOSLAVIA, FED. REP. OF
ZAMBIA
ZIMBABWE
Zip / Postal Code :
Tel No :
Ctry
Code
Area
Code
Tel Number
Fax No :
E-mail :
2.
(a) Constitution of Business :
Sole Proprietorship
Partnership
Private Limited Company
Public Limited Company
(b) Date of Incorporation/Registration :
dd/mm/yyyy
(c) Country of Incorporation/Registration :
-Country-
AFGHANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANTIGUA & BARBUDA
ARGENTINA
ARUBA
AUSTRALIA
AUSTRIA
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BOLIVIA
BOTSWANA
BRAZIL
BRUNEI DARUSSALAM
BULGARIA
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CHILE
CHINA, PEOPLE'S REPUBLIC OF
COLOMBIA
CONGO
COSTA RICA
COTE D'IVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
GABON
GAMBIA
GEORGIA
GERMANY, FEDERAL REPUBLIC OF
GHANA
GIBRALTAR
GREECE
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUYANA
HAITI
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA, REPUBLIC OF
IRAN, ISLAMIC REP. OF
IRAQ
IRELAND
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA, DEM. PEOPLE'S REP. OF
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO, PEOPLE'S DEM. REP.
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAYSIA, PENINSULAR
MALDIVES
MALI
MALTA
MARTINIQUE
MAURITANIA
MAURITIUS
MEXICO
MONGOLIA, PEOPLE'S REP. OF
MOROCCO
MOZAMBIQUE
MYANMAR, UNION OF
NAMIBIA
NEPAL
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
OTHER COUNTRIES, NES.
PAKISTAN
PALESTINE
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION ISLANDS
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT LUCIA
SAMOA
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE, REPUBLIC OF
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOUTH AFRICA, REPUBLIC OF
SPAIN
SRI LANKA, REPUBLIC OF
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIAN ARAB REPUBLIC
TAIWAN
TAJIKISTAN
TANZANIA, UNITED REP. OF
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE (HOLYSEE)
VENEZUELA
VIETNAM, SOCIALIST REP. OF
VIRGIN ISLANDS, BRITISH
WESTERN SAMOA
YEMEN, REPUBLIC OF
YUGOSLAVIA, FED. REP. OF
ZAMBIA
ZIMBABWE
3.
(a) Nature of business in
rubber
rubber product
:
(b) Number of years in rubber/rubber products business:
1
2
3
4
5
6
7
8
9
10
11-15
16-20
21-25
>25
4.
Paid-up Capital
Amount (RM) :
5.
Bank Guarantee (if applicable)
Amount (RM) :
Banker's Name :
Address :
6.
Particulars of Directors/Partners*:
Name :
Residential Address :
Designation :
Nationality :
Occupation Vitae :
Shares in Company if any :
Name :
Residential Address :
Designation :
Nationality :
Occupation Vitae :
Shares in Company if any :
Name :
Residential Address :
Designation :
Nationality :
Occupation Vitae :
Shares in Company if any :
* as at date of application
7.
Principal Officers :
Name :
Position in Company :
Nationality :
Occupation Vitae :
Experience in Rubber Trade & Industry :
Shares in Company if any :
Name :
Position in Company :
Nationality :
Occupation Vitae :
Experience in Rubber Trade & Industry :
Shares in Company if any :
Name :
Position in Company :
Nationality :
Occupation Vitae :
Experience in Rubber Trade & Industry :
Shares in Company if any :
8.
Trade Association/Affiliation (if any):
9.
Bank Confidential Report from :
Name of Bank :
Address :
Applicant's Name :
Designation :
Application Date :
19 March 2024
By submitting this form, you indicate that you agree to forward your application to the Malaysian Rubber Exchange for processing to become a member.