Register Your Vendor
Categories
Company Details
Company Registered Name (as per SSM)
Company Registered Address (as per SSM)
Business Name
Business Address (if different from SSM / Branch Address)
Same as Registered Address
Postcode
City
State
Select State
Johor
Kedah
Kelantan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Sabah
Sarawak
Selangor
Terengganu
W.P. Kuala Lumpur
W.P. Putrajaya
W.P. Labuan
Telephone No.
Email Address
Old SSM Business Registration Number (BRN)
New SSM Business Registration Number (BRN)
Malaysia Standard Industrial Classification (MSIC) Code
Tax Identification Number (TIN)
Company Ownership
Bumiputera
Non-Bumiputera
Supporting Document
Upload supporting document regarding ownership (If has).
Nature of Business
Banking Details
Account Name
Bank Name
Select Bank
Bank Account Number
Bank Address
Latest Front Page Bank Statement
Please upload the latest front page bank statement document.
PIC Details
Name of PIC
Contact Number PIC
Email Address PIC
Document Uploads
1. General
I/C Copy of Director
Upload front and back copy of director's identification card.
Business Premises License (Local Authority / PBT)
Reference No.
Expiry Date
Upload the latest valid business premises license issued by local authority (PBT).
SSM Registration Forms
Sdn Bhd & LLP (Form 9,24,49 or Section 14,17)
Sole Proprietorship / Partnership (Form A/B,D)
Supporting & Compliance Documents
Tax Compliance Certificate (TCC)
Upload latest LHDN Tax Compliance Certificate (if available).
Proof of Pembayar Zakat MAIWP
Upload zakat payment proof or related certificate (if applicable).
Ministry of Finance (MOF) Certificate
MOF Reference No.
Expiry Date
Upload valid Ministry of Finance (MOF) certificate, if applicable.
2. License & Certificate
For Pharmacy
Pharmacist APC
Poison License Type A
Other Supporting documents
( If Related )
For Hospital
MOH License (Form 4/7)
Other Supporting documents
( If Related )
For Optometry
Optometrist/Optician’s Annual Practicing Certificate (APC)
Other Supporting documents
( If Related )
For Audiology
Audiologist's Annual Practicing Certificate (APC)
Supporting Documents
For Physiotherapy / Rehabilitation
Private Healthcare Facilities & Services Act 1998 License
Therapist Qualification Certificate
Other Supporting Documents
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