Persatuan Pengusaha Restoran India, Malaysia (6198/97)
Wisma PRIMAS, No. 25, 2nd Floor,
Jalan Dato' Haji Eusoff, Kompleks Damai,
Off Jalan Ipoh, 50400 Kuala Lumpur

+603-4041 2671
9am-5pm (Mon-Fri)

Registration

New Membership

Register For

NEW MEMBERSHIP

Please fill-up below form

Company Details

Company Name *

Please enter Company Name.

Registration No * (SSM)

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Business Start Date *

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Company Address *

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Postcode *

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State *

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Country *

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Company Contact No *

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Company HP No *

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Company Email * (Will be used as login username)

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Company Owner / Partners / Directors Name *
(Please Seperate by ;)

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Attachments (Documents)

(Accepted format: jpg or pdf only. Max size 4MB)

FORM D / FORM 9 *

Please attach FORM D / FORM 9.

Local Council License *

Please attach Local Council License.

Director NRIC Copy *

Please attach Director NRIC Copy.

Colour Photographs of Restaurant

(Accepted format: jpg only. Max size 4MB)

Entrance With Signboard *

Please attach photo of Entrance With Signboard.

Dining Area *

Please attach photo of Dining Area.

Food Display *

Please attach photo of Food Display.

Kitchen Area *

Please attach photo of Kitchen Area.

Personal Details

Full Name * (As per NRIC)

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Nationality *

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NRIC * (Without - & space)

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Date Of Birth *

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Gender *

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Contact No *

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House Address *

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Postcode *

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State *

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Country *

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Proposer & Seconder

We (Proposer & Seconder) hereby confirm that we know this applicant personally

Proposer Name

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Proposer Company Name

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Proposer Member ID

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Proposer Contact No

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Seconder Name

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Seconder Company Name

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Seconder Member ID

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Seconder Contact No

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Bank Details

BANK: PUBLIC BANK BERHAD
CURRENT ACCOUNT NO: 3192 6988 21

All cheques should be crossed and made payable to:- PERSATUAN PENGUSAHA RESTORAN INDIA, MALAYSIA

Membership & Payment

Membership Type *

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Active Until

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Registration Fee

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Annual Fee

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Grand Total

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Payment Method *

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Payment Proof *

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(Accepted format: jpg or pdf only. Max size 4MB)

I / we hereby wish to apply to be a member of the "PERSATUAN PENGUSAHA RESTORAN INDIA, Malaysia" and if my / our application is approved, I / we agree to comply with the constitution, all by-law and association rules. I / we confirm that all given information is true and complete and I / we are aware that if any information is left or false will cause the application to be rejected.

All the payment made is not refundable. For more detail, please contact the admin.

Please accept our terms and conditions

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ABOUT KOPRIMAS

Koperasi Pengusaha Restoran India Malaysia Bhd is a Cooperative for restaurant owners. aimed to improve the economic interests of its members though activities carried out based on Cooperative principles.

MAIN OFFICE

Persatuan Pengusaha Restoran India, Malaysia (6198/97)
Wisma PRIMAS, No. 25, 2nd Floor,
Jalan Dato' Haji Eusoff, Kompleks Damai,
Off Jalan Ipoh, 50400 Kuala Lumpur

   +603-4041 2671
   +6012-209 9631
   general@primas.org.my