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Guide and Company Information Form: Icon Grant Programme

This document is a guide and information form for a grant programme called ICON. It requests information about a company such as its name, registration details, contact persons, directors, shareholders, banking information, past grants, annual revenue, number of employees, financing sources, nature of business and market. The form is to be signed with the applicant's name, designation and IC/passport number.

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rarahim
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© Attribution Non-Commercial (BY-NC)
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Download as DOC, PDF, TXT or read online on Scribd
76 views

Guide and Company Information Form: Icon Grant Programme

This document is a guide and information form for a grant programme called ICON. It requests information about a company such as its name, registration details, contact persons, directors, shareholders, banking information, past grants, annual revenue, number of employees, financing sources, nature of business and market. The form is to be signed with the applicant's name, designation and IC/passport number.

Uploaded by

rarahim
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ICON GRANT PROGRAMME

GUIDE AND COMPANY INFORMATION FORM


ICONedu & ICONity Grant Multimedia Development Corporation dn !"d #MDeC$ %& 1 COMPANY INFORMATION Name of Company

ROB / ROC Registration Number

ROB / ROC Registration Date

Current Business Postal Address Address !el "a# $mail

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

/ttp

;ey Conta6t Persons Name Designation !elep)one "a# $mail

Name Designation !elep)one "a# $mail


%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

Dire6tors <nformation Name Designation !elep)one "a# $mail Name Designation !elep)one "a# $mail

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

')are)olders 'tru6ture Name of shareholder(s) Equity (%) Cou try of ori!i "umi # o $"umi

Authori%ed Ca&ital Paid$u& Ca&ital

R% R%

Brief ba6>ground of management team *append resume.

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

Company 'e6retary Name Designation Address !elep)one "a# $mail

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Ban>ing "a6ility Ban> Bran6) %anager?s Name A66ount Number/"a6ility !elep)one "a# $mail

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

11

@rants Pro6ured A&&ro'al (ate <!A" 1/2/3/4 !e6)nology A60uisition "und *!A". Commer6ialiAat ion of RBD "und *CRD". Demonstrator Appli6ation @rant *DA@'. '6ien6e "und $CContent "und Pro)e*t#s (es*ri&tio +ra t ,alue

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

%ultimedia @rant '6)eme *%@'. Cradle <n&estment Program *C<P. %'C %alaysia !e6)nopreneur PreC'eed "und

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

"-.INE.. INFORMATION 1 Current annual re&enue

Number of employees "ull time Part time

!ype of finan6ing employed to date Debt

$0uity

Personal finan6ing

Denture 6apital

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

ICON GRANT PROGRAMME

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

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ICON GRANT PROGRAMME

NAT-RE OF "-.INE.. 1 'er&i6es

Produ6t

Resear6) B De&elopment

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

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ICON GRANT PROGRAMME

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

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ICON GRANT PROGRAMME

%ar>et

'ignature Name Designation <C/ Passport No Date

%ultimedia De&elopment Corporation 'dn( B)d( *3+,34-(D. %'C /ead0uarters1 23-2 Persiaran AP$C1 -3222 Cyber3aya1 'elangor Darul $)san1 %alaysia( !elep)one 4-23 +315 3222 "a# -23 +31+ +51, $mail 6onta6t7md6(6om(my 8R9 :::(ms6(6om(my

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