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Company Associate Form

This form is for Associate’s submission.
All fields are required.

Associate

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Licensed Associate

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    A) Company

    1) Company Information


    File type: jpg|jpeg|png|pdf


    File type: jpg|jpeg|png|pdf

    2) Select Your Area(s) of Expertise

    3) Software(s) in the Company

    4) Preferred Location(s)

    5) Disclosure of Information

    Please tick (✔) in the relevant boxes if you agree to disclose the information on our social media website and other documents for distribution.



    B) 1ˢᵗ Principal / Person-in-Charge Information

    1) Personal Information


    Please attach your passport size photo
    (Resolution of 300dpi, 35mm x 50mm with formal attire)
    File type: jpg|jpeg|png|pdf. Max file size: 2MB

    Sample Photo:


    MaleFemale

    2) Select Your Area(s) of Expertise


    File type: jpg|jpeg|png|pdf Max file size:10MB

    3) Tell us about the softwares you're competent at

    4) Disclosure of Information

    Please tick (✔) in the relevant boxes if you agree to disclose the information on our social media website and other documents for distribution.


    C) 2ⁿᵈ Principal / Person-in-Charge Information

    1) Personal Information


    Please attach your passport size photo
    (Resolution of 300dpi, 35mm x 50mm with formal attire)
    File type: jpg|jpeg|png|pdf. Max file size: 2MB

    Sample Photo:


    MaleFemale

    2) Select Your Area(s) of Expertise


    File type: jpg|jpeg|png|pdf Max file size:10MB

    3) Tell us about the softwares you're competent at

    4) Disclosure of Information

    Please tick (✔) in the relevant boxes if you agree to disclose the information on our social media website and other documents for distribution.


    I hereby acknowledge that I have read and agree to the Terms and Conditions

    We pledge to fully comply with the requirements of the Personal Data Protection Act 2010 (“PDPA”). In which your personal information collected from or provided by you is processed, disclosed and safeguarded by IPM.

    Kindly reenter following for verification purpose:


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