CPA-Unifi

Dashboard

Service Application Form (SAF)

Company Name *

Company Registration Number *

Company Type *

Company Address *

Company Correspondence Address *

Office Phone Number *

Office Fax Number *

GST Number *

Name *

Designation *

NRIC/ Passport *

Email *

Mobile Number *

Office Contact Number *

Extension

Fax Number

Name *

Designation *

Email *

Mobile Number *

Office Contact Number *

Extension

Fax Number

Name *

Designation *

Email *

Mobile Number *

Office Contact Number *

Extension

Fax Number

Email (Customer Complaint)

Customer Service Hotline

Company Website

Name *

Designation *

Email *

Mobile Number *

Office Contact Number *

Extension

Fax Number

Name *

Designation *

Email *

Mobile Number *

Office Contact Number *

Extension

Fax Number

Brief Product Description *

ACKNOWLEDGEMENT

In consideration of you agreeing to provide the Service to us, we agree to be bound by the General Terms and Conditions* and all relevant Service Terms and Conditions* relating to the Service which we subscribe. We confirm we have read, understood and further agree to be bound by the General Terms and Conditions* and all relevant Service Terms and Conditions*. We further declare and warrant that all information provided by us is accurate and true and we agree that you may suspend the Service and withhold any payments to us if any of the information is found to be false, misleading or invalid. We further undertake to indemnify and keep you indemnified against all claims, demands, proceedings, damages losses costs and expenses arising from any misrepresentation of any or all information contained in this SAF.

REMINDER

Please mail the hardcopy of SAF and payment in check for Setup Fee in the amount of RM2,000 per short code to the address below for approval. You will be notified via email once the registration is approved.

Supporting Documents for Private Ltd Company or Public Ltd Company

Copy of IC of Authorized Signatory
Form 9
Form 13
Form 24
Memorandum and Articles of Association (M.A.A)
Copy of Valid ASP License

I agree to the Service Terms and Conditions .