Company Entity Details

Are you an existing Tec D customer ? *

Yes

Company Name *

Customer ID *

Type of Business Entity *

Sole Proprietorship/Partnership

Sdn Bhd and Bhd

Files to upload for Sole Proprietor:

Allow file type *.jpg, *. jpeg, *. png, *. pdf, *. doc, *. docx - Maximum file size : 30MB

1. Companies Commission of Malaysia Form (SSM - ) *

West Malaysia only(Printed within past 6 months)

2. Other Business Registration Form *

Form D / Form E (West Malaysia) or License / Certificate (East Malaysia)

3. Business Card or Latest Bank Statement or Utility Bill with Address *

Company Name * (in full)

Company Registration Number *

Company Website

Company Contact Number *

Company Fax Number

Date of Incorporation

Paid Up Capital

Annual Revenue Size (in RM) *

Total number of employees *

Number of Sales Staff *

Number of Technical Staff

Sales Segment*

Type of Industry*(Industry you are focusing on)

Top 5 Brands of Interest *

Top 5 Focus Brands *

Trade Reference

Main solution focus *

Is your company currently distributing any brands?

Yes

Are you interested in a Cloud account with Tec D? *

Yes

Please provide your MPN

Country

Malaysia

Address* 254/254 characters

State*

City*

Postal Code*