FORM D (RULE 13)

CERTIFICATE OF REGISTRATION
THE REGISTRATION OF BUSINESSES ACT 1956
(ACT 197)

This is to certify that the Business carried on under the name

KV CHOCO BAKERY
REGISTRATION NO. : 202003356175 (SA0556808-V)

has this day been registered until 03 DECEMBER 2021 in accordance with
the provisions of the Registration of Business Act 1956, with its principle
place of business at 12, JALAN KANGKONG, TAMAN GOODWOOD,
58200 KUALA LUMPUR WILAYAH PERSEKUTUAN.

Number of branches: N/A (0)

Dated at SISTEM EZBIZ this 04 DECEMBER 2020.

NOR AZIMAH BINTI ABDUL AZIZ

Digitally Signed by SURUHANJAYA SYARIKAT MALAYSIA
(SSM)
Registrar of Businesses
Digitally Signed on 15/12/2020 04:49 PM
Peninsular of Malaysia

User Id: 1151127 Date: Tue Dec 15 16:49:13 2020 Printing Date: 15/12/2020
This certificate is generated from MYDATA SSM Services as at 15/12/2020 16:49:13. 1/2
MENARA SSM@SENTRAL, NO.7, JALAN STESEN SENTRAL 5, KUALA LUMPUR SENTRAL, 50470 KUALA LUMPUR.
TEL : 03-2299 4400 FAX : 03-2299 4411
 DIGITALLY CERTIFIED TRUE COPY

This document has been digitally certified true copy by POS DIGICERT SDN BHD (457608-K),
the company which has been granted license as a "Certification Authority" in Malaysia under
Section 8, of the Digital Signature Act 1997 and Digital Signature Regulation 1998.

To verify the authenticity of the digitally certified true copy document, follow the following
steps:

Type of verification Steps for verification

Softcopy Verification
1. Open the softcopy of digitally true copy using Adobe Reader
version 10 or above.
2. Import the necessary certificates into Adobe Reader (User quide is
available at https://www.posdigicert.com.my/pdfguide/
3. Validate the document as per the information shown at the top
panel of the Adobe Reader.

Hardcopy Verification
SSM DCTC Web 1. Open internet browser and type https://ssm4u.com.my.
Checker 2. Click "REGISTER" to register user ID.
3. Click "SIGN IN" and key in user ID and password if user already
register in SSM4U.
4. Click icon "DCTC READER & CHECKER"
5. Key in Serial No, complete reCAPTCHA and click "SEARCH" button.
6. Ensure the copy viewed in internet browser matches the printed
copy.

SSM DCTC QR Code 1. Install "SSM DCTC QR READER" from Google Play (Android) or
Reader App Store (iOS) on smartphone.
2. Run the application.
3. Press "TAP SCREEN TO SCAN" and point your smartphone camera
to the QR Code that can be found at the bottom of digital certified
true copy document.
4. The smartphone will display the original copy of the document
store SSM Database that has been digitally certified by appointed
Certified Authority.
5. Ensure the copy appeared in the smartphone matches the printed
copy.

User Id: 1151127 Date: Tue Dec 15 16:49:13 2020 Printing Date: 15/12/2020
This certificate is generated from MYDATA SSM Services as at 15/12/2020 16:49:13. 2/2
MENARA SSM@SENTRAL, NO.7, JALAN STESEN SENTRAL 5, KUALA LUMPUR SENTRAL, 50470 KUALA LUMPUR.
TEL : 03-2299 4400 FAX : 03-2299 4411
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2020120400057

(* Mandatory Field)

NAME APPROVAL NO. EB-A2020120400057

I/We the person(s) responsible submit for registration of the following particulars regarding the under-mentioned business.

INFORMATION OF BUSINESS (* Mandatory field)

1. * BUSINESS NAME KV CHOCO BAKERY

2. A) * DATE OF COMMENCEMENT OF BUSINESS 04/12/2020 B) * REGISTRATION 1 YEARS

(dd/mm/yyyy) PERIOD
3. * PARTNERSHIP AGREEMENT NO DATE
(If yes, upload the copy of agreement) (dd/mm/yyyy)
4. ADDRESS OF PRINCIPAL PLACE OF BUSINESS 12, JALAN KANGKONG
TAMAN GOODWOOD

TOWN KUALA LUMPUR

POSTCODE 58200

STATE W.P KUALA LUMPUR

5. * TELEPHONE 0178711286 FAX

6. E-MAIL

7. CORRESPONDENCE ADDRESS 12, JALAN KANGKONG

(if different from above) TAMAN GOODWOOD

TOWN KUALA LUMPUR

POSTCODE 58200

STATE W.P KUALA LUMPUR

 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2020120400057

INFORMATION OF BRANCHES (* Mandatory field)

* NO OF BRANCHES 0

NO BRANCH ADDRESS TOWN POSTCODE STATE

INFORMATION TYPE OF BUSINESS (* Please fill in at least 1)

BUSINESS DESCRIPTION

SMALL SHOP BAKERY

NO BUSINESS TYPE (CODE) DESCRIPTION

47216 JUALAN RUNCIT PRODUK BAKERI DAN KONFEKSI
1 (RETAIL SALE OF BAKERY PRODUCTS AND SUGAR CONFECTIONERY)

SUBMISSION DATE 04/12/2020

(dd/mm/yyyy)
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2020120400057

INFORMATION OF OWNERS (* Mandatory field)

1.*NAME OF OWNER CHEW KYE XIONG

2. *DATE OF BIRTH 01/06/1993
(dd/mm/yyyy)
3. *NATIONALITY MALAYSIAN
IF PERMANENT RESIDENT, STATE COUNTRY
OF ORIGIN
4. *PERSONAL OLD 5.*COLOUR BLUE
IDENTIFICATION
NO
MYKAD 930601055033
MYPR

PASSPORT

POLICE

ARMY

6.*SEX Male
7.*RACE CINA
8.*RESIDENTIAL ADDRESS B116 TAMAN STATELITE
BAHAU

9.*TOWN BAHAU

10.*POSTCODE 72100

11.*STATE NEGERI SEMBILAN

12.TELEPHONE 0178711286 FAX

13.E-MAIL haratiokua@gmail.com
14.*OWNERSHIP SOLE PROPRIETORSHIP
SUBMISSION DATE 04/12/2020
(dd/mm/yyyy)
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2020120400057

VERIFICATION BY OWNER/PARTNER(S) (* Mandatory field)

I/We confirm the accuracy of all the statements made in the form and declare that I/We am/are the owner/partner(s) of
the business the name of which is
KV CHOCO BAKERY

* NAME CHEW KYE XIONG

* PERSONAL IDENTIFICATION NO. 930601055033 * COLOUR BLUE

* ADDRESS B116 TAMAN STATELITE

BAHAU

TOWN BAHAU

POSTCODE 72100

STATE NEGERI SEMBILAN

* E-MAIL haratiokua@gmail.com
* TELEPHONE 0178711286
FAX
 Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2020120400057

VERIFICATION BY OWNER/PARTNER(S)

NO. NAME IDENTITY CARD NO COLOUR SIGNATURE

1 CHEW KYE XIONG 930601055033 BLUE haratiokua@gmail.com
ALTHOUGH ALL EFFORTS HAVE BEEN CARRIED OUT TO ENSURE THAT THE INFORMATION PROVIDED IS ACCURATE
AND UP TO DATE, THE REGISTRAR OF COMPANIES WILL NOT BE LIABLE FOR ANY LOSSES ARISING FROM ANY
INACCURATE OR OMITTED INFORMATION.

** BUSINESS INFORMATION **

NAME : KV CHOCO BAKERY

REGISTRATION NO. : 202003356175 (SA0556808-V)
PRINCIPLE PLACE OF BUSINESS : 12, JALAN KANGKONG
TAMAN GOODWOOD
58200, KUALA LUMPUR
WILAYAH PERSEKUTUAN

BUSINESS OWNERSHIP : SOLE PROPRIETORSHIP

BUSINESS START DATE : 04-12-2020
REGISTRATION DATE : 04-12-2020
BUSINESS EXPIRY DATE : 03-12-2021

STATUS : ACTIVE

** BUSINESS TYPE **

SMALL SHOP BAKERY

** BRANCH INFORMATION **

** NO BRANCH **

User Id: 1151127 Date: Tue Dec 15 16:49:13 2020 Printing Date: 15/12/2020
This company information is generated from MYDATA SSM Services as at 15/12/2020 16:49:13 1 /2
MENARA SSM@SENTRAL, NO.7, JALAN STESEN SENTRAL 5, KUALA LUMPUR SENTRAL, 50470 KUALA LUMPUR.
TEL : 03-2299 4400 FAX : 03-2299 4411
 NAME : KV CHOCO BAKERY
REGISTRATION NO. : 202003356175 (SA0556808-V)

** INFORMATION OF CURRENT OWNER **

NAME : CHEW KYE XIONG

RESIDENTIAL ADDRESS : B116 TAMAN STATELITE
BAHAU
72100, BAHAU
NEGERI SEMBILAN

IC (OLD) :
IC (NEW) : 930601055033
DATE OF BIRTH : 01-06-1993
RACE : CHINESE
GENDER : MALE
NATIONALITY : MALAYSIAN CITIZEN
DATE OF ENTRY : 04-12-2020

THIS INFORMATION SUPPLIED ARE EXTRACTED FROM DOCUMENT FILED WITH REGISTRAR

REGISTRAR OF BUSINESS, PENINSULAR MALAYSIA

DATE : 15-12-2020

THIS COMPUTER GENERATED DOCUMENT. NO SIGNATURE IS REQUIRED.

User Id: 1151127 Date: Tue Dec 15 16:49:13 2020 Printing Date: 15/12/2020
This company information is generated from MYDATA SSM Services as at 15/12/2020 16:49:13 2 /2
MENARA SSM@SENTRAL, NO.7, JALAN STESEN SENTRAL 5, KUALA LUMPUR SENTRAL, 50470 KUALA LUMPUR.
TEL : 03-2299 4400 FAX : 03-2299 4411
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