GMC WORLDWIDE SDN BHD
41 & 43, JALAN INDUSTRI USJ1/12,PERINDUSTRIAN USJ1,47600 SUBANG JAYA.
TEL:03-8023 0336 FAX:03-80240336
Email address *
DEALER APPLICATION FORM
Kindly complete all the form and return to us with the following document:

I/WE HEREBY APPLY A DEALER ACCOUNT & SUBMIT THE FOLLOWING CONFIDENTIAL INFORMATION FOR THIS PURPOSE ONLY.

1. Name of Company (In Full): *
2. Business Registration No: *
3. Business Address: *
4. Telephone No. (Office): *
Email Address *
5. Person In charge: *
6. Registered Office (If different from above):
7. Type of business (Sdn Bhd / Sole Proprietorship / Partnership): *
8. Date of Incorporation: *
9. If Limited Company, Please state: Authorized Capital:
Paid-Up Capital:
10. Name of Directors / Proprietors / Partners
10. Name of Directors / Proprietors / Partners *
11.Trade Reference
File Attachment
(a) For Limited Company:
(i) Form 9 / 13
(ii) Form 24
(iii) Form 49

(b) For Sole Propeietor / Partnership business:
(i) Business Registration Form (Borang D / B)
(ii) Matlumat Perniagaan

File Attachment *
Required
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