MACP User | Permit

LICENCE APPLICATION

PART 01. PARTICULARS OF COMPANY OR INDIVIDUAL APPLICANT

Name of Company / Individual Applicant

Company Registration / NRIC No.

Mailing Address

Post Code

Town

States

Country

Contact Person Name

Designation

Tel No.

Email Address

Mobile No.

Part 02. PARTICULARS OF EVENTS

Part 03. DECLARATION AND AGREEMENT

Name of Applicant

Designation

Email Address

NRIC/Passport No.

Mobile Number

Company Stamp
(Recommended size: 6cm x 3.5cm)
(*For individual, kindly upload your signature)

Click to Choose File

Attachment (eg: Company / Business Registration & etc)

Click to Choose File

Date of Application

Applicant Signature

Draw your signature

Or Upload Signature File

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.