Top Engineering Firm in Malaysia - Advance Together With IPM

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This form is for Company Associate's submission.

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If you wish to submit as a Licensed Associate, kindly click here »

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A) Company

1) Company Information

Company Name *

Company Board Registration Certificate *

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Company Registration Certificate - Form D/ Form E/ Form 8/ Form 9 (If any)

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Company Telephone No *

Company Fax *

Company Email *

Company Address *

Total Licensed Professional(s) in the Company *

2) Select Your Area(s) of Expertise

Other(s)

3) Software(s) in the Company

1. *

4) Preferred Location(s)

Preferred State(s) *

Preferred Town(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.

Disclosure of Information *

Company Name
Area of Expertise

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

1) Personal Information

Your Name *

Photo *

Please attach your passport size photo
(Resolution of 300dpi, 35mm x 50mm with formal attire),
File type: jpg|jpeg|png|pdf. Max file size: 1048KB

Sample Photo:
ipm-apply-ass-engineer-sample-photo

Professional Membership No. (E.g.: LAM / BEM / MIP / BQSM) *

Gender *

Male
Female

New IC Number *

Telephone No. (e.g. +60129876543) *

Your Email *

Permanent Address *

Correspondence Address *

Designation *

Practicing Since (Year) *

2) Select Your Area(s) of Expertise

Other(s)

Kindly attach your Professional Certificate here

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

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

1. *

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.

Let us know your preferred name/nickname for disclosure:

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

1) Personal Information

Your Name

Photo

Please attach your passport size photo
(Resolution of 300dpi, 35mm x 50mm with formal attire),
File type: jpg|jpeg|png|pdf. Max file size: 1048KB

Sample Photo:
ipm-apply-ass-engineer-sample-photo

Professional Membership No. (E.g.: LAM / BEM / MIP / BQSM) (If any)

Gender

Male
Female

New IC Number

Telephone No. (e.g. +60129876543)

Your Email

Permanent Address

Correspondence Address

Designation

Practicing Since (Year)

2) Select Your Area(s) of Expertise

Other(s)

Kindly attach your Professional Certificate here (if any)

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.

Let us know your preferred name/nickname for disclosure:

I Agree *

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:

First Principal Name *

New IC Number *

Second Principal Name

New IC Number

I hereby certify that all the above information given are true and correct as to the best of my knowledge. *

Company Associate Form

This form is for Company Associate's submission.

A) Company

1) Company Information

2) Select Your Area(s) of Expertise

3) Software(s) in the Company

4) Preferred Location(s)

5) Disclosure of Information

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

1) Personal Information

2) Select Your Area(s) of Expertise

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

4) Disclosure of Information

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

1) Personal Information

2) Select Your Area(s) of Expertise

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

4) Disclosure of Information

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

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