Section 1 : Contact Information
Person-in-Charge* Company's focal point of contact
Email Address*
Job Title*
Department*
Mobile Number*
Section 2 : Company Information
Organization Name*
SSM Registration Number*
SSM Registration Date*
Business Address*
Address Line 1
Address Line 2
Company Contact Number*
Industry Focus/Nature of Business*
Organization structure/Number of Employee* Details of company's top management:
Number of total employee:
Company Webpage URL
Number of Intern Required*
Subsidy Required*
Section 3 : Supporting Documents
For this section, kindly provide us with file links (e.g. Google drive, Dropbox or other platforms) to the required documents in the respective fields.
Corporate Profile*
SSM Certificate of Incorporation* To provide SSM document on certificate of incorporation i.e. Form 9 (Companies Act , 1965) or Section 17 (Companies Act, 2016)
CTC SSM Business Profile*
Shareholders information and % shareholding* To provide SSM document on certificate of incorporation i.e. Form 24 (Companies Act , 1965) or Section 78 & 51 (Companies Act, 2016)
Financial Information* To include audited accounts of the applicant most recent financial year(s)
Company Latest HRD Fund Levy Balance Statement*
Internship Plan*
Section 4 : Declaration & Confirmation
I hereby declare that to the best of my knowledge and belief all the particulars furnished above are true. Penang CAT Centre reserves the right to request for additional information and I am aware that any failure to supply such information can effect this application. Penang CAT Centre has the right to revoke my application on the grounds of false information given.
Signature* Use your mouse or finger to draw your signature above
