mySAFE-StagOpis

Company Information
Please complete the infomation in this form.

License Issued By

Applicant Information
Contact Person Information

NRIC / Passport Number

Name

Address In Malaysia
Representative Address Information

Address In Malaysia

Country

State

Town

Postcode

Occupation/Designation

Office Number/Contact No

Fax Number

Document Submission
Supporting Document

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Letter of Authority to carry out business on behalf of the company / email change template will be available for download

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Letter of Authority to carry out business on behalf of the company / email change

Document supported is PDF with size less than 5MB.

GET OTP Number

GET OTP Number

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Change of Company Representative