SHOPLOT APPLICATION FORM Please enable JavaScript in your browser to complete this form.APPLICANT'S DETAILS Name *Residential AddressContact No *Email *NextCompany's Profile Company's Name *Business AddressRegistration No.Registration DateType of CompanyBerhadSdn. Bhd.PartnershipSole ProprictorJoint-Venture with Foreign ShareholdersJoint-Venture CompanyDirect ImporterDirectors’ or partners’ detailsBackNextIn-charge for the business management and operation Name (for Bintang Megamall's Outlet) NationalityAge Selected Value: 18 Years of Experience Selected Value: 18 BackNextType of Business you propose to operate in Bintang MegaMall:Fast FoodElectricalMobileSpecialtyCart / KioskComputer / HIFIGiftsNoveltyApparelServicesRestaurantToysHome Furniture / FurnishingJewelleryShoes / Leather goods / BagsSportsOthersPlease specifyBackNextLOCATION OF RETAIL SPACE YOU ARE APPLYING Floor LevelLower GroundGround Floor1st Floor2nd Floor3rd Floor4th FloorType Of SpaceShop lot(s)KioskCartFood CourtOthersPlease specifyArea Applied For:300 sq.ft.400 sq.ft500 sq.ft.600 sq.ft.1,000 sq.ft.1,500 sq.ft2,000 sq.ft.2,500 sq.ft.3,000 sq.ft.3,500 sq.ft4,000 sq.ftOthersPlease specifyExpected Term Of Tenancy5 years10 years15 years20 yearsMARKETING In ChargeAmount Of Renovation Cost You Are Prepared To SpendBackNextM&E REQUIREMENT Electricity required:Single phase3-phase60 a.m.p.100 a.m.p.OthersPlease specifyBiling Information Please provide the following information if the invoice for rental should be directed to someone other than the ApplicantNameCompany NamePositionShop OwnerDirectorManagerSupervisorAccountStaffCompany AddressContact No *Email *Preferred communication channelWhatsAppEmailBackNextREFERENCE Kindly provide us some reference if you have any Operation MattersOperation Contact Details Same As PreviousName of your Bankers/Financial InstitutionLIST OF SUPPORTING DOCUMENT If available, kindly provide us together with your application form the following Photocopy of I.C. (Directors or Partners)Business RegistrationTrade LicenceAnnual Report Company Profile Product Brochure / Catalogue Form 24 and 49 (Applicable to Company only)For Foreign / Local Franchise: - Copy of Confirmation Letter from Local / Foreign Franchisor OthersI/We confirm that the information provided above is true. *I/We confirm that the information provided above is true.BackPhoneSubmit
