Company Membership Registration  
* indicates a required field

Company Information

Company Name *
Company Registration Status *
Company Registration Number *
Company Industry Focus *
Business Offered *
Phone Number *
Fax Number *
Company E-mail *
Website *
e.g. http://www.example.com
Address *
ZIP/Postal Code *
State *
Country *
Where did you learn about Q-Portal *

Contact Person Information

First Name Contact Person *
Last Name Contact Person *
Designation *
Gender *
Phone Number *
E-mail *

Member Information

Name of Primary Member *
E-mail of Primary Member *
Name of Secondary Member
E-mail of Secondary Member
   

Declaration of Personal Data Protection Act (PDPA)

Please tick (✓) in the appropriate boxes
(* Compulsory and necessary for successful registration)
* I/We have read and agree to the Terms and Conditions, and Statement of Privacy.
Saya/Kami telah membaca dan bersetuju dengan Syarat-syarat dan Peraturan(versi bahasa inggeris) serta Kenyataan Privasi.
* I/We hereby give my/our consent for MSTB to retain information provided in this form for the purpose of registration and communications related to my membership to Q-Portal.
Saya/Kami dengan ini membenarkan MSTB untuk meyimpan maklumat yang dinyatakan di dalam borang ini untuk tujuan pendaftaran dan komunikasi berkaitan keahlian Q-Portal.
I/We hereby give my/our consent for MSTB and/or its appointed agent to contact me/us for the purposes of providing update on and/or invitation to participate in future activities that may be of interest to me/us.
Saya/Kami dengan ini membenarkan MSTB dan/atau ejen dilantik untuk menghubungi kami untuk mengemaskini maklumat dan/atau menyampaikan undangan untuk aktiviti-aktiviti di masa hadapan yang mungkin bersesuaian dengan saya/kami.

Should you wish to cease receiving such communications, please inform MSTB through email: info@mstb.org.
Sekiranya anda tidak lagi berhasrat untuk menerima sebarang komunikasi, anda boleh menghubungi MSTB melalui emel: info@mstb.org.