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

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NEW MEMBERSHIP

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Company Details

Please enter Company Name.
Please enter Company Registration No.
Please enter Business Start Date.
Please enter Company Address.
Please enter company Postcode.
Please select Company State.
Please enter Country.
Please enter Company Contact No.
Please enter Company HP No.
Please enter Company Email.
Please enter Owner / Partners / Directors Name.
Attachments (Documents)
(Accepted format: jpg or pdf only. Max size 4MB)
Please attach FORM D / FORM 9.
Please attach Local Council License.
Please attach Director NRIC Copy.
Colour Photographs of Restaurant
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Please attach photo of Entrance With Signboard.
Please attach photo of Dining Area.
Please attach photo of Food Display.
Please attach photo of Kitchen Area.
Personal Details

Please enter Name.
Please select nationality.
Please Enter valid NRIC without - and space.
Please enter Date Of Birth.
Please select gender.
Please enter Contact No.
Please enter House Address.
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Proposer & Seconder

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


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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

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