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Registration Form
Name of Company:
Address:
Post Code:
Country:
Tel:
Fax:
Nature of Business:
Company Representative
Salutation:
Tun
Toh Puan
Tan Sri
Puan Sri
Datuk Seri
Datin Seri
Datuk
Dato'
Datin
Dr.
Mr.
Mrs
Ms.
Name:
NRIC:
Designation:
Mobile:
Email :
Requirements
Industrial Land Parcel:
1-2 acres
2-4 acres
More than 4 acres
Others
(please specify) :
Ready-Built Facilities
(please specify)
Lot Size (sq ft):
Built-up Area (sq ft):
Built & Lease
yes
no
Development & Project Management
yes
no
Other Facilities
(please specify):
Proposed Development:
Date of Commencement:
Date of Completion:
Estimated Value of Investment:
RM
Specific Infrastructure Requirement:
Estimated Manpower Requirements
(Year 1) :
Profesional
Less than 10
10-50
More than 50
Skill-workers
Less than 10
10-50
More than 50
Non-skill workers
Less than 10
10-50
More than 50
Commercial
:
Terrace Factories
Shop Offices
Others
(please specify):
Residential
:
Single Storey Link House
Double Storey Link House
Semi Detached
Bungalow
Others
(please specify):
I Came to Know HICOM Properties Through (Tick Where Relevant):
Media Advertisement
Recommendation
Outdoor Promotion/Exhibition
Publication/Lifestyle Magazines
Others:
Your Preferred Newspapers Source (Tick Where Relevant):
New Straits Times
The Edge Daily
The Star
Business Times
The Malay Mail
Utusan Malaysia
The Sun
Berita Harian
Others:
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