EXEMPTION APPLICATION FOR IMPORT DUTY AND SALES TAX EXEMPTION ON IT/MULTIMEDIA EQUIPMENT FOR MSC MALAYSIA STATUS COMPANIES - APPLICATION FORM -
A. 1.
PARTICULARS OF APPLICATION Type of application (Please tick (√) where relevant): (a) (b) (c) New equipment Spare parts/replacement parts Used (Please specify period of usage) __________________________________________________________________
2.
Please specify for which MSC Malaysia approved activity that the equipment will be used for: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
3.
Please specify the address where the equipment will be installed: _____________________________________ _____________________________________ _____________________________________ _____________________________________
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B. 1.
PARTICULARS OF COMPANY (a) Company Name: __________________________________________________________________ Type of company registration (Please tick (√) where relevant): (b) (c) (d) Registrar of Business Registrar of Companies Others (Please specify) __________________________________________________________________ Date of incorporation: ________________________ Company registration no: ________________________
2.
Correspondence address: __________________________________ __________________________________ __________________________________ __________________________________
Operation address: ________________________________ ________________________________ ________________________________ ________________________________
Contact Person: ________________________
Designation: ________________________
Telephone No: ________________________
Fax No: ________________________
E-mail address: ________________________
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C.
DECLARATION I hereby certify that the information declared in this application form and the Lampiran C is true. I further declare: 1. 2. 3. 4. 5. That the equipment listed in the Lampiran C will be directly used in our MSC Malaysia Approved activities, That the equipment listed in the Lampiran C will be owned by our company and not be used for trading purposes, That the equipment listed in the Lampiran C will be installed at the stated location (refer item A3), That all the inventory records will be kept in good and proper condition for the purpose of future equipment audits, and That we will not dispose any of the listed equipment in the Lampiran C prior to getting approval from Royal Customs of Malaysia.
Name:
___________________________
Signature:
___________________________
Date:
___________________________
Co. Stamp
___________________________
For MDeC use:
Ref no :
__________________________
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