Application For Dealer Account

Company/Business Enterprise Name*

Company/Business Enterprise Registration No.*

Company/Business Enterprise GST No*

Company/Business Enterprise PBT No.*

Company/Business Enterprise Business Address*

Company/Business Enterprise Registered Address*

Company/Business Enterprise Official Telephone Number*

Company/Business Enterprise Official Fax Number*

Company/Business Enterprise Official Email*

Name of Person in Charge*

Mobile Number of Person in Charge*

Paypal Payment Name / Transaction Id (Your name in the payment form)*

Paypal Payment Email (Your email in the payment form)

User Name* (This is your login & shop url. It should be similar to your Company/ Business name and/or location)
Ie: abcautojlnipoh

Tradename* (This name will be displayed on your vehicle posts, it should be similar to your Username) Ie: abcautojlnipoh

Years in Business Years*

Please prepare proof of ownership of *Company/Business Enterprise:
a) For Company

(1) NRIC of main shareholder and executive director of Company
(2) Certificate of Incorporation
(3) Change of Name Form (if any)
(4) Latest Form 24, Form 44 and Form 49
(5) Copy of latest utilities bill

b) For Business Enterprise

(1) NRIC of owner of Business
(2) Certificate of Registration
(3) Change of Name Form (if any)
(4) Cope of latest utilities bill
We will collect the relevant documents from you a few days after your account is created.

DECLARATION

We hereby declare that the information given in this application is true and correct as at the date hereof and hereby undertake to inform you immediately if there is any change. We hereby further agree and confirm that we have read all the terms and conditions applicable to us including but not limited to the Dealer Terms & Conditions set out below, the Terms of Use & Access and Privacy Notice of KLRegistry and hereby accept and agree to be bound by all such terms and conditions and privacy notice.

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