[md-form]

*Company Registration
[md-text label="Company Name"]

[/md-text]

[md-text label="Registration No"]

[/md-text]

[md-text label="Type of Business"]

[/md-text]

[md-text label="Company Address"]

[/md-text]

[md-text label="Postal Code" tabletwidth="4" desktopwidth="6"]
[/md-text]

[md-text label="Contact Number"] [/md-text]
[md-text label="Fax No"] [/md-text]

Country:
[countrytext* countrytext-733]

*Company Authorised Representative
[md-text label="Last Name/Family Name"] [/md-text]
[md-text label="First Name (Given name)/ Middle Initial"] [/md-text]
[md-text label="Designation"] [/md-text]

[md-text label="Contact Number"] [/md-text]
[md-text label="Mobile Number"] [/md-text]
[md-text label="E-mail"] [/md-text]

[md-checkbox label="Membership and Payment Terms"]

[/md-checkbox]

Payment Method
[md-checkbox label="Payment Method"]
Bank Draft or cheque <br>Payee: “MALAYSIA STEEL INSTITUTE”Telegraphic Transfer made to: <br>MALAYSIA STEEL INSTITUTE <br>A/C No: 5142 0860 8871 <br>Maybank <br>Kepong, Selangor Darul Ehsan, MALAYSIA <br>SWIFT CODE: MBBEMYKLKEP
[/md-checkbox]

[md-file label="Payment Proof"]
[/md-file]

Statutory Declaration

I, on behalf of the undersigned company/institution/association, or as an individual, hereby apply to become a member of the Malaysia Steel Institute and certify that the above information is true to the best of my knowledge. If accepted, we/I agree to be bound by the Memorandum and Articles of Associations and rules of the Institute in force and any changes made in the future as approved by the MSI Board. Enclosed the certified true copies of the following documents of the company (where relevant).

[md-checkbox label="(Please tick to specify)"]
Form 9/13AForm 24Form 49Form 58Manufacturing License (if ICA)
[/md-checkbox]

[md-file label="Statury Declaration File" btn_text="Choose multiple file"]

[/md-file]

[md-text label="Date"]

[/md-text]

[md-textarea label="Remarks"]

[/md-textarea]

[md-submit]
[/md-submit]

[/md-form]