REGISTRATION FORM FOR USERS (POTENTIAL CLIENTS/INVESTORS/PUBLIC) Category Please choose your category Company Individual Organisation Individual Details * Name ID Type NRIC Passport * IC No. * Example: 851311145978 (without dash) * Nationality Please select.. Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Bostwana Bouvet Island Brazil British Indian Ocean Terr. British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Byelorussia Cameroon Canada Canary Islands Canton and Enderbury Islands Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island (Ind. Ocean) Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Rep. Denmark Djibouti Dominica Dominican Republic Dronning Maudland Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faeroe Islands Falkland Island (Malvinas) Fiji Finland France French Guiana French Polynesia French Southern Terr. Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Israel Italy Jamaica Japan Johnston Island Jordan Kampuchea Kazakhstan Kenya Kiribati Korea, Rep. Kuwait Kyrgyzstan Latvia Lebanon Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia, Yugaslav. Rep. Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Fed. States Midway Islands Moldova Monaco Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles Neutral Zone New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Others Pacific Island (Trust Terr.) Pakistan Palau Palestine Panama Panama Canal Zone Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Rep of Ireland Reunion Islands Romania Russian Federation Rwanda Saint Lucia Saint Vincent/ Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Sikkim Singapore Slovak Federal rep. Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Kitts-Nevis St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlaying Islands Uganda Ukraine United Arab Emirates United Kingdom United States of America United States Virgin Islands Unknown Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Wake Island Wallis and Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia Zaire, Rep. Zambia Zimbabwe Company Details * Company Name * ROC - Example: 123456-P * Address * City * Postcode * State Please select.. Johor Kedah Kelantan Melaka Negeri Sembilan Pahang Perak Perlis Pulau Pinang Sabah Sarawak Selangor Terengganu W.P. - Kuala Lumpur W.P. - Labuan W.P. Putrajaya * Tel No * Email * Email (Will be used as Username) * State Please select.. Johor Kedah Kelantan Melaka Negeri Sembilan Pahang Perak Perlis Pulau Pinang Sabah Sarawak Selangor Terengganu W.P. - Kuala Lumpur W.P. - Labuan W.P. Putrajaya Fax No Website Contact Person * Name * Designation * Email (Will be used as Username) * Tel No Activity * Category Manufacturing Company Services Company * Manufacturing Sector Please select.. Basic Metal Products Beverages & Tobacco Chemical & Chemical Products Electronics & Electrical Products Fabricated Metal Products Food Manufacturing Furniture & Fixtures Leather & Leather Products Machinery Manufacturing Miscellaneous Non-Metallic Mineral Products Paper, Printing & Publishing Petroleum Products (Including Petrochemicals) Plastic Products Rubber Products Scientific & Measuring Equipment Textiles & Textile Products Transport Equipment Wood & Wood Products * Type of Products * Services Sector Please select.. Distributive Trade Education Services Energy Financial Services Global Operations Hub Health Services Hotel &Tourism MSC Status Others Real Estate Regional Establishments Support Services Telecommunications Transport * Type of Services * Category Please select.. Student Consultant Academia Investor Others * Others * Type of Activity * Others * Please specify * Enter Code (Non-Case Sensitive) [ Change Image ] By registering your credentials, All information provided to MIDA including any personal information shall be treated and kept strictly confidential. Back Reset Submit