Beruflich Dokumente
Kultur Dokumente
584087-A
A-1-20, Phoenix Business Park, Jalan 2/142a, Km 10, Jalan Cheras, 56100 Kuala Lumpur, Malaysia
Tel : (603) 9101 2267 / 9100 4178 Fax : (603) 9102 2267 website : www.hidayahfactors.com
1) Company Name:
Company/ Reg No :
Fax No :
Contact Person :
3) Business Address :
Mobile No :
Authorised Capital :
Paid-up Capital :
4) Nature of Business :
5) Type of Company :
Private Limited Partnership Proprietorship
6) Status of Company :
Bumiputra Company Non-Bumiputra Company Foreign Company
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8) Board of Directors
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I / We certify that the above information and the facts set forth in this application (including any supplemental document(s), if
any, attached to and made a part of this application) are true and correct. I / We further hereby authorised HIDAYAH FACTORS
SDN BHD to obtain any information from any source whatsoever which HIDAYAH FACTORS SDN BHD may so require for the
purpose of assessing this application. I/we hereby confirm and declare that all the information provided by me/us is
complete, true and correct and that I/we authorize HIDAYAH FACTORS SDN BHD and its representatives to verify any
information provided and to obtain from any source including, consumer reporting, credit reporting agency, or reference
schemes you considers appropriate any information and so long as there is existing business relationship/credit facilities.
I/we agree and permit HIDAYAH FACTORS SDN BHD to disclose or release data/information relating to
company/business/individual to credit bureau or central bureau."
Name Name
NRIC No. NRIC No.
Name Name
NRIC No. NRIC No.
Company's R/Stamp
Date :
HIDAYAH FACTORS SDN BHD Company No. 584087-A
A-1-20, Phoenix Business Park, Jalan 2/142a, Km 10, Jalan Cheras, 56100 Kuala Lumpur, Malaysia
Tel : (603) 9101 2267 / 9100 4178 Fax : (603) 9102 2267 website : www.hidayahfactors.com
NAME, RESIDENCE ADDRESS & TEL PERSONAL/ CO'S BANK & OTHER RELATED
PAST EXPERIENCE
NO. ACC. NO. BUSINESS/ COMPANIES
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