MALAYSIAN CABLE MANUFACTURERS ASSOCIATION (MCMA

MALAYSIAN CABLE MANUFACTURERS ASSOCIATION (MCMA)
15A, Jalan PJS 10/24, Bandar Sri Subang, 46000 Petaling Jaya.
Tel : 03-5634 0294
Fax : 03-5611 6220
Website : www.mcma.org.my
MEMBERSHIP APPLICATION FORM
We………………………………………………………………………..hereby apply to
be a member of the Malaysian Cable Manufacturers Association and, if elected,
agree to be bound by the Rules and Constitution of the Association for the time in
force.
1.0
Office Address
Factory Address
Tel No :
Fax No :
Tel No :
Fax No :
2.0
Please address all mail to the office/factory address for the attention of
(name and designation) :………………………………………………………………………………………..
3.0
Nature of Constitution (please tick)
Sole Proprietor
Partnership
Limited Company
4.0
Issued/Paid-up Capital
Names of Directors/Partners
i)
ii)
iii)
iv)
v)
vi)
Products Manufactured
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5.0
Number of Employees :………………
6.0
Manufacturing
Licence
No.
and Reference No. and Products Approved
Products Approved under Industrial under Electricity Supply Act 1990, if
Coordination Act (1975), if any
any
7.0
Reference No of Products Licenced by
SIRIM Berhad, if any
8.0 Company's Representative to MCMA will be :Name of Representative
Name of Alternate
I certify that the above information is true to the best of my knowledge
Signature :………………………………….
Name :………………………………………
Date :………………………………………..
Company's Chop :…………………………
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