MACP User | Annual

LICENCE APPLICATION

PART 01. PARTICULARS OF COMPANY

Name of Company

Company Registration No.

Mailing Address

Post Code

Town

States

Country

Name of Authorised Person/Director/Business Owner

Designation

Tel No.

Email Address

Mobile No.

Part 02. PARTICULARS OF PREMISES

* Multiple categories of licences may be required within your establishment. Please include all relevant categories by clicking on the 'Premises' button.

Part 03. DECLARATION AND AGREEMENT

Name of Applicant

Designation

Email Address

NRIC/Passport No.

Mobile Number

Company Stamp
(Recommended size: 6cm x 3.5cm)

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Attachment (eg: Company / Business Registration & etc)

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Date of Application

Applicant Signature

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The licence as applied for shall be granted and an agreement deemed to have been made only upon the acceptance and execution of the application by MACP. MACP may refuse to accept the application where information contained in this application is inaccurate or incomplete.

I/We acknowledge and agree that I/We have read the term of this Licence Agreement as stated and attached herein and further agree to be bound by those terms, for and on behalf of the Applicant as well as in my/our personal capacity as the authorised person, director or business owner of the Applicant.