MPRC REGISTRATION FORM 2018

Important Note:

  1. The information you providein this form will be published in the“Malaysia OGSECatalogue”.
  2. Please submit company logo in high resolution in the following formats; TIF, PNG and JPG. High resolution photos are required for sharp reproduction in our publications.
  3. Please attach five (5) high resolution images of your key assets/facilities/products in the formats mentioned above.
  4. Each application received by the established relevant deadline will be reviewed for completeness. Incomplete applications will not be reviewed.
  5. Please send all completed forms and attachments to .

1. COMPANY DETAILS
Company Name:
Company Registration Number
(as registered with the Companies Commission of Malaysia):
Mailing Address:
City: / State: / PostCode:
Contact Person:
Designation:
E-mail:
General Line:
Fax:
Company Website:
If applicable, please indicateyour ultimateholding/parent company:
2. COMPANY BACKGROUND & CORE BUSINESS (PRODUCTS/ EQUIPMENTS / SERVICES)
  1. Please mark“X”to indicate your primary business activity. You may select more than one (1) segment.
Segment / Please tick / Segment / Please tick
Seismic & Hydrographic Surveys / Civil & Dredging
Drilling & Drilling related services / Inspection, Maintenance & Repair, Hook-Up & Commissioning
Engineering & Consultancy Services / Transport & Logistic Services
Equipment & System suppliers/manufacturers / Health, Safety, Environment & QA/QC Services
Shipbuilding & Repair / Personnel Services
Fabrication, Construction & Modification / Research and Development
Pipeline, Offshore Installation / Others (please specify):
______
  1. Please describe your company background & core business (Max 200 words)

3. KEY CLIENTS & PROJECTS
(Please list five (5) key clients and projects undertaken in the order of importance, with 1 being the most important. You may attach a separate sheet if necessary)
Country / Client (s) / Project Name and Summary of Work Scope / Year / Segment
(please select from section 2 (A) above)
4. ACCREDITATION / CERTIFICATION
(Please list your company’s accreditation or certification awarded by national standards bodies/certification bodies or registrars/classification societies relevant to your core business)
Certification Type / Application / Date of Award
5. AUTHORISED COMPANY REPRESENTATIVE
I, (NAME IN BLOCK LETTERS), hereby declare that the above information provided is complete and true.
______
Signature Company Stamp
Name:
Designation:
Date:

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