"#FF0000" && $comRegErr<>"#FF0000" && $comAdd1Err<>"#FF0000" && $comAdd2Err<>"#FF0000" && $comAdd3Err<>"#FF0000" && $comPostcodeErr<>"#FF0000" && $comPostcodeErr<>"#FF0000" && $comCityErr<>"#FF0000" && $comStateErr<>"#FF0000" && $comOwnErr<>"#FF0000" && $prodSecErr<>"#FF0000" && $conSalutationErr<>"#FF0000" && $conFullnameErr<>"#FF0000" && $conDesignationErr<>"#FF0000" && $conPhoneErr<>"#FF0000" && $conEmailErr<>"#FF0000" && $bizNatErr<>"#FF0000" && $certErr<>"#FF0000" && $salesErr<>"#FF0000" && $asstReqErr<>"#FF0000" && $disErr<>"#FF0000"){ include'function/index.php'; } //echo $comName.' '.$comReg; } ?>
Note : All fields are required.
Company Information
Company Registration No : "#FF0000"){?> Registration No already exist!
Company Name :
Address :
Postcode : City :
State :
Website :
Company Ownership (Applicable for Malaysia Based Company)
Women Ownership : checked >Yes checked >No
Bumiputera : checked >Yes checked >No
Contact Person
Salutation :
Fullname :
Designation :
Phone No : Fax No :
Email : Email already exist!
Nature of Business
checked >Manufacturing checked >Distributor checked >Services checked >Trading
checked >Others (Please specify)
value="" disabled >
Product Sector
checked >Food & Beverage checked >Ingredients checked >Cosmetic & Personal Care checked >Healthcare & Pharmaceutical
checked >Services checked >Others (Please specify)
value="" disabled >
Existing Certification
checked >Halal checked >Good Manufacturing Practice (GMP) checked >Hazzard Analysis and Critical Control Point (HACCP) checked >ISO 9001
checked >ISO 22000 checked >MeSTI checked >Veterinary Health Mark (VHM) checked >Others (Please specify)
value="" disabled >
Range of Annual Sales Turnover (Previous Year) :
Exporter : checked >Yes checked >No
Assistance Required From HDC
checked >Halal Certification Facilitation checked >International Compliance checked >Market Access checked >Financing Assistance
checked >Halal Market Champion
I hearby declare that the particulars furnished in this form are correct and true to the best of my knowledge.
Personal data Protection Act 2010
I/we hereby give my/our consent to the HDC to:-
(i) Store and process my/our Personal / Company Data
(ii) Disclose my/our Personal / Company Data to the division / department of HDC as required for reporting purposes.