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THE ELECTRICAL AND ELECTRONICS ASSOCIATION OF MALAYSIA
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(Registration No.: 705, Selangor)
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No. 5-B, Jalan Gelugor, Off Jalan Kenanga, 55200 Kuala Lumpur, Malaysia.
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Tel: +603-9221 2091, 9221 4417 Fax: +603-9221 8212
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E-mail: teeam@teeam.org.my or teeam52@gmail.com
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Website: www.teeam.org.my
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MEMBERSHIP APPLICATION FORM
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I/We hereby apply to become an Individual Member/Company Member/State Association Member/Associate Member of The Electrical and Electronics Association of Malaysia (TEEAM) and if accepted, agree to be bound by the Constitution of TEEAM for the time being in force.
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FOR COMPANY/STATE ASSOCIATION MEMBER
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Registered Name of Company/Association: *
(English and Chinese)
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Address: *
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Tel: *
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Fax:
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E-mail: *
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Http(Website):
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Type of Business: *
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Company/Association Registration Date & No.: *
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PKK Registration: Class
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EC Registration: Class
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CIDB Registration: Class
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Company's/Association's Representative in TEEAM will be:
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Representative:
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Alternate:
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Name:(English* and Chinese)
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Name:(English and Chinese)
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Designation: *
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Designation:
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Handphone: *
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Handphone:
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I.C. No.: *
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I.C. No.:
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Date & Place of Birth: *
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Date & Place of Birth:
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FOR INDIVIDUAL MEMBER
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Name
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I.C. No.:
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Date & Place of Birth:
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Qualification/Competency:
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Experience:
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Residential Address:
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Tel:
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Fax:
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E-mail:
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Handphone:
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Correspondence Address:(if different from above)
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Occupation:
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Employer (Name of Company):
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Type of Business:
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Preferred Group Registration: *
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Electrical & Electronics Engineering Construction & Services Group
Electrical & Electronics Manufacturing Group
Electrical & Electronics Trading Group
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I/We enclosed here with cheque No.:
amounting
payable to "The Electrical and Electronics Association of Malaysia".
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Applicant's Signature:
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Name:
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Company/Association Stamp (if any)
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Date:
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Proposed and seconded by an existing TEEAM member:
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Proposer:
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Seconder:
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Authorised Signature
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Authorised Signature
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Name
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Name
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Company/Association Stamp
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Company/Association Stamp
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Membership No.
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Membership No.
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| For office use only. |
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COMPANY MEMBERSHIP STATISTICS
(Must be completed)
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(Please tick accordingly)
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1. Number of full time employees *
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10 employees and below
21-50 employees
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11-20 employees
51 employees & above
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2. Type of company *
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Sole Proprietorship
Private Limited Company
Joint Venture
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Partnership
Public Listed Company
Others:(Please indicate)
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3. Paid-up capital *
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RM50,000 & below
RM100,001 - RM500,000
RM1,000,001 - RM5,000,000
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RM50,001 - RM100,000
RM500,001 - RM1,000,000
Above RM5,000,000
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4. Annual turnover *
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RM1,000,000 and below
RM5,000,001 - RM10,000,000
RM20,000,001 - RM50,000,000
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RM1,000,001 - RM5,000,000
RM10,000,001 - RM20,000,000
Above RM50,000,000
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Year of incorporation:
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Equity:
% local
% foreign
(Please indicate percentage)
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Company/Business Registration No.:
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Main line of business:
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ⅰ. Manufacturing
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Local market (
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(Please indicate percentage)
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Overseas market (
%)
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| Products |
Assemble HRC Fuselinks
| Ballasts
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Busduct, Busbar Trunking System
| Cable Protection System
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Cable Support System
| Cables & Wires
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Capacitors
| Carbon/Industrial Brushes
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Conduit/PVC Pipes
| Connectors & Joints
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Copper Products
| Data Centre Solution
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Datacom Products
| Electrical Appliances
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Electrical Training Equipment
| Electricity Meters
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Electronics Components/Products
| Energy Saving Equipment
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Fire Alarm Panel
| Fire Detection Equipment
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Generator Sets
| Heatings
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Intercom & Alarm System
| Laboratory Equipment & Testing
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LED
| Lighting Poles & Column
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Lighting, Lamps & Bulbs
| Lightning Protection System
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Metal Components
| Rewinding Motors
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Sanitary System
| Switchboards
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Switchgears
| Transformers & Accessories
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UPS System & AVR
| Wiring Accessories
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Others (Please specify)
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ⅱ. Trading
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Local market (
%)
(Please indicate percentage)
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Overseas market (
%)
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| Products |
Assemble HRC Fuselinks
| Ballasts
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Busduct, Busbar Trunking System
| Cable Protection System
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Cable Support System
| Cables & Wires
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Capacitors
| Carbon/Industrial Brushes
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Conduit/PVC Pipes
| Connectors & Joints
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Copper Products
| Data Centre Solution
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Datacom Products
| Electrical Appliances
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Electrical Training Equipment
| Electricity Meters
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Electronics Components/Products
| Energy Saving Equipment
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Fire Alarm Panel
| Fire Detection Equipment
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Generator Sets
| Heatings
|
Intercom & Alarm System
| Laboratory Equipment & Testing
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LED
| Lighting Poles & Column
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Lighting, Lamps & Bulbs
| Lightning Protection System
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Metal Components
| Rewinding Motors
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Sanitary System
| Switchboards
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Switchgears
| Transformers & Accessories
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UPS System & AVR
| Wiring Accessories
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Others (Please specify)
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ⅲ. Engineering Construction & Services
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Local project (
%)
(Please indicate percentage)
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Overseas project (
%)
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| Services |
Above 132 kV
11 kV - 33 kV
Extra Low Voltage
Structural Cabling System
Telecommunications
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Above 33 kV - 132 kV
Below 11 kV
Turnkey
Audio Visual System
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Others (Please specify)
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ⅳ. Others
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Local market/project (
%)
(Please indicate percentage)
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Overseas market/project (
%)
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(Please specify)
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