IPC/RDC-1

1.Three sets of Application Form

2.Certificate of Incorporation

3.Form 24 (return of Allotment of Shares)

4.Form 49 (Particulars of Directors)

5.Latest Annual Report of the Company

6.A copy Manufacturing License or other MITI/MIDA

approvals of affiliated/related companies

7.Flow chart of the IPC/RDC products in terms of

procurement and sales including transshipment and

drop shipment

8.Flow chart outlining the flow of funds, in particular export

proceeds

9.Proposed IPC/RDC organization chart

10.Group Corporate Structure

11.Details of Expatriate Post/s

12.Brochure / pamphlet of company

IPC/RDC-1

Type of application (Please tick () where relevant):

(a) IPC Status

or

RDC Status

(b) Tax Incentive

(c) Expatriate Posts

A.INFORMATION ON PROPOSED IPC/RDC

1. Type of company (Please tick () where relevant):

(a) Newly incorporated

(b) Existing manufacturing company

(c) Others (Please specify):

______

2. (a)Name of company:

______

Date of incorporation:Company registration no.:

______

Income tax reference no.:Income tax branch office:

______

(b)Correspondence address:

______

______

Contact person:Designation:

______

Telephone no.:Fax no.:

______

IPC/RDC-1

E-mail: / Website:
(c) Address of registered office:
Telephone no.: / Fax no.:
E-mail:
3. / Incentives approved by other government agencies (if any):
4. / Project cost*
Existing
Manufacturing/ Trading / Proposed
IPC/RDC
(A) /

(B)

Unit / RM / Unit /

RM

(A-i) / (A-ii) / (B-i) /

(B-ii)

(a) / Fixed assets**
(I) / Land
(Specify area in hectares)
(II) / Building
(i) / Office building
(Specify built-up area in m2 )
(ii) Related building
- / Warehouse building
(Specify built-up area in m2 )
- / Factory building
(Specify built-up area in m2 )
- / Others
(Please specify):

Note:

* For a newly incorporated company, please fill in column (B-i) and (B-ii) only

** If assets are rented/leased, please fill in item 3(d)

IPC/RDC-1

Existing
Manufacturing / /Trading / Proposed
IPC/RDC
(A) /

(B)

Unit / RM / Unit /

RM

(A-i) / (A-ii) / (B-i) /

(B-ii)

(III) / Machinery and equipment
(i) / Warehouse equipment
(ii) / Transportation equipment
(iii) / Others
(Please specify):
(IV) / ICT hardware/software
Total fixed assets
(b) / Pre-operational expenditure
(c) / Working capital
Total project cost
(Total of (a), (b) and (c))

(d)

/

Annual cost of rental/lease

(I) / Land
(Specify area in hectares)
(II) / Building
(i) / Office building
(Specify built-up area in m2 )
(ii) / Related building
- / Warehouse building
(Specify built-up area in m2 )
- / Factory building
(Specify built-up area in m2 )
- / Others
(Please specify):

IPC/RDC-1

Existing
Manufacturing/ Trading / Proposed
IPC/RDC
(A) /

(B)

Unit / RM / Unit /

RM

(A-i) / (A-ii) / (B-i) /

(B-ii)

(III) / Machinery and equipment
(i) / Warehouse equipment
(ii) / Transportation equipment
(iii) / Others
(Please specify):
(IV) / ICT hardware/software
Total rental/lease
5. / Financing*
Existing
Manufacturing/ Trading
RM / Proposed
IPC/RDC
RM / Total
RM
(A) / (B) / (C = A + B)
(a) / Paid-up capital
(b) / Loan
Domestic
Foreign
(Specify country of origin):
Total
(c) / Other sources (Please specify):
Total
Total of (a), (b) and (c)
Note:
* For a newly incorporated company, please fill in column (b)and (c) only

IPC/RDC-1

6. / Equity structure
(a) Local: / %
(b) Foreign: / %
(Specify country of origin)
7. / If the proposed IPC/RDC is an existing manufacturing company in Malaysia or serving related manufacturing companies in Malaysia, please provide the following details:
(a)List of products currently manufactured
(b)Attach a copy each of Manufacturing Licence
8. / Subsidiaries/associate companies/related companies to be served by the IPC/RDC
Company name and address / Company activities
(Please provide :
(i)A diagrammatic presentation on network of companies to be served by the IPC/RDC
(ii)The latest audited accounts of the above companies)

IPC/RDC-1

9. / Estimated sales turnover of proposed IPC/RDC:
Year1 ( / ) / Year 2 ( / ) / Year 3 ( / )
(RM) / (RM) / (RM)
10. / Major brands to be distributed (applicable if the company is applying for RDC)
11. / Expected date of commencement of IPC/RDC operation:

RDC

12.Proposed products to be distributed by IPC/RDC

(a) Finished products*

Finished products / Quantity** / Value
(RM ‘000) / % Local sales / % LMW/FZ sales / % Direct export/
transhipment / % Drop Shipment
Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3
Total

Note:

* If the space provided is insufficient, please provide the information on a separate sheet of paper

** Units as specified in the “Malaysian Trade Classification and Customs Duties Order”

RDC

(b) Semi-finished products, parts and components*

Semi finished products, parts and components / Quantity** / Value
(RM ‘000) / % Local sales / % LMW/FZ sales / % Direct export/
transhipment / % Drop Shipment
Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3
Total

Note:

* If the space provided is insufficient, please provide the information on a separate sheet of paper

** Units as specified in the “Malaysian Trade Classification and Customs Duties Order”

IPC/RDC-1

(c) Raw materials*

Raw materials / Quantity** / Value
(RM ‘000) / % Local sales / % LMW/FZ sales / % Direct export/
transhipment / % Drop Shipment
Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3
Total

Note:

* If the space provided is insufficient, please provide the information on a separate sheet of paper

** Units as specified in the “Malaysian Trade Classification and Customs Duties Order”

IPC/RDC-1

13. / Estimated quantity, value and percentage of products traded through invoicing
(i.e. drop shipment) as a percentage of total sales turnover:
Year / Quantity* / Value
(RM ‘000) / % of total sales turnover
Year 1
Year 2
Year 3
Note:
* Units as specified in the “Malaysian Trade Classification and Customs Duties Order”
14. / Procurement sources
Purchase / Value
(RM ‘000) / %
Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3
Local
(a) Related companies
(b) Other companies
Foreign
(a) Related companies
(b) Other companies
Total / 100% / 100% / 100%
15. / Details of foreign and local sourcing
(a) Foreign sourcing of products/raw materials/parts and components by country
(from related/other companies)**:
(Please tick () where appropriate)
Company name / Company Activity
(i.e trading/
manufacturing) / Products/raw materials/
parts and components / Country / Related () / Others
()

Note:

** If the space provided is insufficient, please provide the same information on a separate sheet of paper


(b) Local sourcing of products/raw materials/parts and components (from related/other companies/SMIs)*:
(Please tick () where appropriate)
Company name / Company Activity
(i.e trading/
manufacturing) / Products/raw materials/
parts and components / Related () / Others ()
MNC / SMI
Note:
* If the space provided is insufficient, please provide the same information on a separate sheet of paper
(c) Attach a detailed presentation indicating the flow of the IPC/RDC products both in terms of procurement and sales including transhipment and drop shipment, as detailed in items (11) and (13).
(d) Attach a presentation outlining the flow of funds, in particular export proceeds.
16. / Details of foreign and local distribution of products (to be filled if the applicant is applying for RDC only):
(a) Foreign distributors*
Company name / Products / Value
(RM ‘000) / Related
() / Others
()
Note:
* If the space provided is insufficient, please provide the same information on a separate sheet of paper

IPC/RDC-1

(b) Local distributors*
Company name / Products / Value
(RM ‘000) / Related
() / Others
()
Note:
* If the space provided is insufficient, please provide the same information on a separate sheet of paper
17. / Does the company have any IPCs/RDCs in other countries? If yes, please name the countries:
18. / If the proposed IPC/RDC is sharing premises with its related manufacturing company, please indicate location of premises as follows:
/ Principal Customs Area (PCA)
/ Licenced Manufacturing Warehouse (LMW)
19. / Warehousing facilities of the proposed IPC/RDC:
/ Public bonded
/ Private bonded
/ Free Commercial Zone (FCZ)
/ Sharing premises with manufacturing company in:
/ LMW / / PCA

IPC/RDC-1

20. / Please provide the address and size of the warehouse in sq. metres. For shared premises, please state if there will be an increase of space to cater for the expected increase in activities.
Address / Size of warehouse
(m2)
21. / Proposed usage of local ports and airports for exports and transhipment by IPC/RDC. Please provide projections for the next 3 years:
Usage of local ports and airports
Name of port/airport / Quantity* / Value of direct export
(RM ‘000) / Total direct export (including transhipment)
as a percentage of total sales turnover
Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3 / Year 1 / Year 2 / Year 3
Ports
Sub-total
Airports
Sub-total
Total
Note:
* Units as specified in the “Malaysian Trade Classification and Customs Duties Order”

IPC/RDC-1

22. / Operating expenditure of the proposed IPC/RDC:
Item of expenditure / Value (RM ‘000)
Year 1 / Year 2 / Year 3
(a) / Rental
(b) / Freight and storage
(c) / Transportation
(d) / Maintenance
(e) / Employees Remuneration*
(i) Expatriates
(ii) Local staff
(f) / Housing
(g) / Travelling
( h) / Statutory contribution
(e.g. EPF,SOCSO)
( i) / Utility
(j) / Communication
(k) / Printing and stationery
(l) / Interest
(m) / Bank charges
(n) / Others (Please specify):
Total

* To include wages, salaries, bonuses, social insurance contribution, etc.

23. / Manpower* -

Please fill in where relevant

Please note that the information is required to enable the government to undertake the appropriate manpower planning to meet the specific manpower needs of companies proposing to establish projects in Malaysia.

Category / Malaysian / Foreign national / Total
(a) / Managerial staff
(b) / Professional/technical/skilled/
specialist staff
(c) / Administrative/supporting staff
Total

(Please attach a complete organization chart and highlight the expatriate posts, if any)

24. / Employment by income: -
Number of Persons Employed by Average Monthly Salary* (RM)
<3,000 / 3,000-<5,000 / 5,000-<10,000 / 10,000 and above
Malaysian / Foreign National / Malaysian / Foreign National / Malaysian / Foreign National / Malaysian / Foreign National
(a) / Managerial staff
(b) / Professional/technical/skilled/
specialist staff
(c) / Administrative/supporting staff
Total

Note:

* include wages, salaries, bonuses, social insurance contribution and all employee benefits.

If there is more than one factory location, please provide the same information on a separate sheet of paper.

B. ESTIMATED EARNINGS

Year in Operation / Year 1 / Year 2 / Year 3
(a)Estimated Earnings before Interest, Tax,
Depreciation & Amortization (EBITDA) (RM)
(b) Net Income abroad remitted to the applicant (RM)

C.INFORMATION ON PARENT COMPANY/SUBSIDIARIES/AFFILIATES/RELATED COMPANIES

1. / Particulars of parent company
(a) / Name of company:
Date of incorporation: / Country of incorporation:
(b) / Address:
Contact person: / Designation:
Telephone no.: / Fax no.:
E-mail: / Website:
(c) / Paid-up capital: RM

IPC/RDC-1

(d) / Main products:
(e) / Sales turnover of company for the latest financial year:
Year :
RM :
2. / Subsidiaries/affiliates/related companies
Company name and address / Company activities / % of equity held

(Please provide a copy of your group’s corporate structure)

D.INFORMATION ON USAGE OF LOCAL SERVICES

1. Accountant/financial advisor
Name of company:
Address:
2. Banker(s)
Name of bank:
Address:
3. Lawyer(s)
Name of firm:
Address:

E. EXPATRIATE POSTS

Please complete this section if the applicant is applying for expatriate posts.
1. / Details of expatriate posts applied for*
Designation* / Type of post
(key/term post) / Number / Duration
(years) / Proposed minimum
salary (RM)
Note:
* Please list according to priority
2. / Details of existing posts approved (if any)
Designation / Name and nationality / Duration
approved / Date post filled / Expiry date / Basic
salary paid (RM)
3. / Please attach the organisation chart of the company indicating the positions of the expatriate posts.

IPC/RDC-1

F.DECLARATION

I , / , the Managing Director of
(i) / hereby declare that to the best of my knowledge, the particulars furnished in this application are true.
(ii)* / have engaged/is planning to engage the services of the following consultant for my application :
Company Name / :
Address / :
Contact Person / :
Designation / :
Telephone no. / :
Fax no. / :
E-mail / :
I take full responsibility for all information submitted by the consultant(s).
Date / (Signature)
(Company’s Stamp or Seal)
*Please complete this section if the company has engaged/is planning to engage the services of consultant(s) to act on behalf of the company. Please provide information on a separate sheet of paper if space is insufficient

Appendix I

DETAILS OF EXPATRIATE POST

Proposed designation:
Academic qualification:
Job description:
Justification for application:
Work experience: