Rule 6. Amendment Schedule (a) (REGISTRATION OF BUSINESSES (AMENDMENT) RULES 1983

P.U. (A) 284/83
REGISTRATION OF BUSINESSES (AMENDMENT) RULES 1983

Rule 6. Amendment Schedule (a)

Forms A, B and D in the Schedule to the principal Rules are amended by substituting therefor the following new Forms A, B and D:

MALAYSIA

(P.N.A. 1)

PENDAFTARAN PERNIAGAAN
BUSINESS REGISTRATION

BORANG A

BORANG A (Kaedah 3)/FORM A (Rule 3)

AKTA PENDAFTARAN PERNIAGAAN 1956 (PINDAAN-1978)
THE REGISTRATION OF BUSINESSES ACT 1956 (REVISED-1978)

PENDAFTAR PERNIAGAAN,
PEJABAT PENDAFTARAN PERNIAGAAN,
KOMPLEK PEJABAT-PEJABAT KERA.JAAN,
TINGKAT 2, BLOK 10,
JALAN DUTA. KUALA LUMPUR

Saya/Kami yang bertanggungjawab menyerahkan butir-butir berikut mengenai perniagaan yang tersebut di bawah ini untuk didaftarkan.
Saya/Kami menyerahkan Wang Kiriman/Wang Tunai sebanyak $25/$50 untuk bayaran pendaftaran dan untuk Perakuan Pendaftaran.

I/ We the person(s) responsible submit for registration the following particulars regarding the undermentioned business.
I/ We submit l Money Order/ Cash for $15/ $50 in payment of registratioin fee and for the issue of a Certificate of Registration.

Nama perniagaan (Huruf Besar)
Business name (Block Letters)

Jika nama Cina tuliskan dengan huruf Cina If such name is Chinese give name in Chinese Character	Tarikh permulaan Date of commencement
	Bentuk perniagaan Constitution of Business	Kepunyaan Tunggal Sole Proprietorship
		Perkongsian Partnership

Sebutkan jika ada suatu Perjanjian berlulis berkenaan dengan syarat-syarat perkongsian itu. Jika ada, nyatakan tarikhnya dan kembarkan sekeping salinannya yang te!ah disahkan dengan ditandatangani.

Ya
Yes

Tidak
No

State whether there is a written agreement as to the term of the partnership. If so, give date and attach a copy of the agreement verified by signatures.

Tarikh
Date

____________________________________________________________________________________

Tempat Utama perniagaan
Principal place of the business

Kod (2)

____________________________________________________________________________________

Alamat Pos
Postal Address

_____________________________________________________________________________________

Jenis perniagaan sebenar dijalankan sekarang	Sebutkan jenis perniagaan yang dijalankan misalnya, "Restoran", "Kedai Runcit", dsb.
Actual nature of the business carrying on now	State the nature of/ the business carried on e.g., "Restaurant", "Provisions Shop", and etc.

__________________________________________________________________	Kod (2)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
	Kod (2)

Cawangan-cawangan perniagaan
Branches of the business

______________________________________________

______________________________________________

______________________________________________

______________________________________________

Bertarikh pada ...........	haribulan .............	19......
Dated this	day of	19

Tandatangan ....................................................

Signature

(Hendaklah ditandatangani oleh tuan punya tunggal atau seorang kongsi utama perniagaan itu)
(Should be signed by the sole-proprietor or principal partner of the business)

PENGESAHAN OLEH SEKUTU-SEKUTU
VERIFiCATiON BY ASSOCIATES

Saya/Kami yang bertandatangan di bawah ini mengesahkan bahawa segala kenyataan-
I/ We the undersigned confirm the accuracy of all the statements

kenyataan yang dibuat dalam borang ini adalah tepat dan mengaku bahawa saya/kami
made in the form and declare that I/ We

adalah sekutu-sekutu dalam perniagaan yang bernama
am an / are associate(s) of the business the name of which is .............................................................
.................................................................................................................................................

Nama atau nama-nama penuh (Huruf Besar) dan nombor Kad Pengenalan dan Warna.
Fill name or names (Block Letters) and Identity Card numbers and colour.

Tandatangan (2)

Signature(s)

Tarikh / Date ......................19 ..........

Saya mengaku bahawa tandatangan (2)/cap (2) ibu jari kanan di atas
I certify that the signature(s) / right thumb print(s) above .......................................................
.................................................................................................................................................

telah diturunkan pada akuan di atas ini di hadapan saya setelah saya berpuashati
was/were affixed to the above declaration in my presence after I had satisfied myself

bahawa orang-orang yang menurunkan tandatangan (2)/cap (2) ibu jari kanan itu adalah
that the person(s) so affixing such signature(s)/right thumb print(s) was/were

sebenarnya orang-orang yang namanya tersebut dalam akuan itu dan ia/mereka faham maksud akuan itu.
in fact the person(s) named in such declaration and understand the purport of such declaration.

Bertarikh di ................	pada .......	haribulan ...................	19 ......
Dated at	this	day of	19

Nama dan Tandatangan Pegawai Pengesah ............................................................................
Name and Signature of Verifying Officer

____________________________________________________________________________

CATATAN-Pengesahan di atas hendaklah disaksikan dengan tandatangan-

(a) DI DALAM MALAYSIA oleh Hakim, Yang di-Pertua Mahkamah Sesyen, Majistret, Penyaksi Awam, Jaksa Pendamai (J.P.), Peguambela atau Peguamcara, Ahli Parlimen atau Ahli Dewan Perundangan Negeri atau Ahli Majlis Mesyuarat Kerajaan Negeri, Pesuruhjaya Sumpah, Pesuruhjaya Buruh, Pegawai Urusan Cina, mana-mana Pegawai yang diberi kuasa oleh Pesuruhjaya Buruh, Pegawai Daerah, Pegawai Pentadbir dalam Negeri Johor, Penolong Pegawai Daerah atau Penghulu atau Penggawa yang diberi kuasa oleh Pegawai Daerah ..

(b) DI DALAM MANA-MANA WILAYAH DALAM KOMANWEL, oleh hakim, Yang di-Pertua Mahkamah Sesyen, Majistret, Penyaksi Awam, Jaksa Pendamai (J.P.), Peguambela atau Peguamcara yang berhak menjalankan amalnya dalam Mahkamah-mahkamah wilayah itu atau Pegawai Konsol dalam mana-mana wilayah dalam Komanwel.

(c) DI DALAM MANA-MANA WILAYAH DI LUAR KOMANWEL, oleh Penyaksi Awam,Pegawai Konsol atau Pegawai Diplomat yang menjalankan tugas-tugas konsol dalam mana-mana wilayah dalam Komanwel.

NOTE-The above verification must be attested-

(a) WITHIN MALAYSIA, by a Judge, President of a Sessions Court, Magistrate, Notary Public, Justice of Peace, an Advocate or Solicitor, a Member of the Houses of Parliament or a State Legislative Assembly or of a State Executive Council, a Commissioner for Oaths, Commissioner for Labour, a Chinese Affairs Officer, any Officer authorised by the Commissioner for Labour, a District Officer, an Administrative Officer in the State of Johore, an Assistant District Officer, or a Penghulu or Penggawa authorised by the District Officer.

(b) WITHIN ANY TERRITORY IN THE COMMONWEALTH, by a Judge, President of a Sessions Court. Magistrate, Notary Public, Justice of Peace, an Advocate or Solicitor who is entitled to practise in the Courts of such territory or a Consular Officer of any territory in the Commonwealth.

(c) WITHIN ANY TERRITORY OUTSIDE THE COMMONWEALTH by a Notary Public, a Consular Officer or Diplomatic Officer performing consular functions of any territory of the Commonwealth.

PERHATIAN :

(i) GUNAKAN HURUF BESAR.

(ii) TANDAKAN

DALAM PETAK-PETAK YANG BERKENAAN.

BUTIR-BUTIR PEMILIK/AHLI KONGSI
OWNER'S/PARTNER'S PARTICULARS

No. Pendaftaran Perniagaan
Business Registration No.

1.	Nama Pemilik/Ahli Kongsi Name of Owner/Partner

2.	Alamat Rumah Residential Address

3.	Jika Nama Cina. Tuliskan Huruf Cina If Chinese Name, Chinese Characters	4.	No. Kad Pengenalan/Paspot I.C./Passport No.
					Paspot/Passport Kad Pengenalan/ Identity Card
					Paspot/Passport Kad Pengenalan/ Identity Card

		5.	Tarikh/Date of
					Masuk/Entry Pertukaran/ Change Menarik Diri / Withdrawal Kematian/ Death Sukarela/ Voluntary Lain-lain/Others

6.	Butir Jawatan Tertentu Dipegang atau Cara Perkaitan dengan Perniagaan Particular Position Held or Nature of Association with Business




				Peratus Saham Perniagaan Percentage Share of Business

Bangsa/ Race

Kewarganegaraan/ Nationality

Melayu

Cina

India

Lain-lain

Malay

Chinese

Indian

Others

Tarikh Lahir/Date of Birth

10.

Jantina/Sex

Hari
Day

Bl.
Mo.

Th.
Yr.

Laki-laki
Male

Perempuan
Female