Partner Registration Form

(International Student Recruitment)

Date:

Company Details

Registered Company Name

(Agency Name in Full)
Registered in Malaysia Registered Overseas

Company Registration Number

Company Establishment Date

Main Contact Person

(Name as per IC / Passport)

Identity Card No (Malaysian)

Nationality:
Passport No (Non-Malaysian)

Official Company Address

Postcode: Country:

Branch Office(s)
(State City & Country)

Main Contact Number

+
(WhatsApp)

Total number of students

recruited for Malaysia since
your establishment

Area of Recruitment Activities

(Region/Countries)

Yes No

Do you charge any counselling

fee or other fees to your If Yes, please provide details on fees chargeable:
prospects / parents?

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 Commission Payment Details

Telegraph Transfer (Foreign Bank Account)

Payment Mode
Bank Transfer (for Malaysian Bank Account)

Beneficiary’s Name

Identity Card No (Malaysian)

Nationality:
Passport No (Non-Malaysian)

Beneficiary’s Bank

Correspondence Bank
(If Any)

Bank Account Number

Banker’s Address

Postcode: Country:

Bank’s Contact Number +

Swift Code

Signature

Name

IC / Passport No
Designation

Company Stamp

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Pl ea s e ti ck i f y o u hav e pr ov i de d t he b e lo w as t he co mp l et e su p p o rt in g do c um en t s f or
imm ed i at e pr oc es s in g:

Completed and signed form

Copy of company regis tration certificate SSM / trade license(s)

Owner’s Identity Card (Malaysian) / Passport Details Page (Non -Malaysian)

Company Profile

Please ensure that Registered Company Name MUST be the same as Registered
Benefic iary’s Bank Name

For Office Use Only

Notes:

Approval

Proposed by: Assessed and Recommended by:

___________________ ___________________________
Name: Name:
International Counsellor Position
Date Date

Approved by:

___________________
Choo Boon Han, Eddy
Chief Revenue Officer (CRO)
Date

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