PREMIA TNC (MY) – Director Information

(MY) Director Information

Director Form (董事表格)

If only single director for the company, kindly provide 1 Next of Kin information

如果公司只有一名董事，请提供1名实益拥有人的资料

Directors Particulars 董事详情

Name in full (As per Passport / NRIC) 姓名（根据护照/身份证）

Position (Director / Next of Kin) 职务 (董事/直系亲属)

Date & Place of Birth 出生日期和地点

Nationality 国籍

Identity card / Passport No 身份证/护照号码

Date & Country of Issue 发行日期和国家

Address in Malaysia (if applicable) 马来西亚的地址（如适用）

Overseas Address (incl. ZIP code) 海外地址(包括邮政编码)

Contact Tel. No. (Office & Mobile) 电话号码（办公室和手机）

Email Address 电子邮件

Documentation required 所需的文件:-
- For Malaysia residents 对于马来西亚居民: A copy of Malaysia NRIC 马来西亚身份证复印
- For non-Malaysia residents 对于非马来西亚居民: A copy of passport and residential address proof 护照复印件和居住地址证明(such as recent utility bill 如最近的水电费单) – To be notarized by notary public 将由公证处进行公证

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I certify that all the above information are true 我证明以上所有信息都是真实的

Telephone 电话号码

Email Address 电子邮件地址

Date 日期

Designation 职位

Customer’s Name 名字

Signature 签名

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