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Form A Registration of Business Rules 1957 (Rule 3) - Portal Business Registration

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Form A

REGISTRATION OF BUSINESS RULES 1957


[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2023041900190

(* Mandatory Field)

NAME APPROVAL NO. EB-A2023041900190


I/We the person(s) responsible submit for registration of the following particulars regarding the under-mentioned business.

INFORMATION OF BUSINESS (* Mandatory field)

1. * BUSINESS NAME VISNU BALLAN TRADING

2. A) * DATE OF COMMENCEMENT OF BUSINESS 19/04/2023 B) * REGISTRATION 1 YEARS


(dd/mm/yyyy) PERIOD
3. * PARTNERSHIP AGREEMENT NO DATE
(If yes, upload the copy of agreement) (dd/mm/yyyy)
4. ADDRESS OF PRINCIPAL PLACE OF BUSINESS LOT 14 JALAN KRIAN KEDAH

TOWN SUNGAI JAWI

POSTCODE 14200

STATE PULAU PINANG

5. * TELEPHONE 0175615650 FAX

6. E-MAIL

7. CORRESPONDENCE ADDRESS LOT 14 JALAN KRIAN KEDAH


(if different from above)

TOWN SUNGAI JAWI

POSTCODE 14200

STATE PULAU PINANG


Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2023041900190

INFORMATION OF BRANCHES (* Mandatory field)

* NO OF BRANCHES 0

NO BRANCH ADDRESS TOWN POSTCODE STATE

INFORMATION TYPE OF BUSINESS (* Please fill in at least 1)

BUSINESS DESCRIPTION

HOUSE RENAVATION,LORRY TRANSPORTATION,ELECTRICAL INSTALLATION,FOOD


SHOP,PLUMBING,WELDING, MENCHINE RESOLUTION,FUNTION DECORATION

NO BUSINESS TYPE (CODE) DESCRIPTION


33110 PEMBAIKAN PRODUK LOGAM YANG DIREKA
1 (REPAIR OF FABRICATED METAL PRODUCTS)

SUBMISSION DATE 19/04/2023


(dd/mm/yyyy)
Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2023041900190

INFORMATION OF OWNERS (* Mandatory field)

1.*NAME OF OWNER VISNU A/L THANABALLAN


2. *DATE OF BIRTH 17/01/2000
(dd/mm/yyyy)
3. *NATIONALITY MALAYSIAN
IF PERMANENT RESIDENT, STATE
COUNTRY OF ORIGIN
4. *PERSONAL OLD 5.*COLOUR BLUE
IDENTIFICATION
NO
MYKAD 000117071073
MYPR

PASSPORT

POLICE

ARMY

6.*SEX Male
7.*RACE INDIA
8.*RESIDENTIAL ADDRESS LOT 14 JALAN KRIAN KEDAH

9.*TOWN SUNGAI JAWI

10.*POSTCODE 14200

11.*STATE PULAU PINANG

12.TELEPHONE 0175615650 FAX

13.E-MAIL vedalam17012000@gmail.com
14.*OWNERSHIP SOLE PROPRIETORSHIP
SUBMISSION DATE 19/04/2023
(dd/mm/yyyy)
Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2023041900190

VERIFICATION BY OWNER/PARTNER(S) (* Mandatory field)

I/We confirm the accuracy of all the statements made in the form lodged persuant to the Rules and section 22A of the
Registration of Businesses Act 1956 and declare that I/We am/are the owner/partner(s) of the business the name of
which is
VISNU BALLAN TRADING

* NAME VISNU A/L THANABALLAN


* PERSONAL IDENTIFICATION NO. 000117071073 * COLOUR BLUE

* ADDRESS LOT 14 JALAN KRIAN KEDAH

TOWN SUNGAI JAWI

POSTCODE 14200

STATE PULAU PINANG

* E-MAIL vedalam17012000@gmail.com
* TELEPHONE 0175615650
FAX
Form A
REGISTRATION OF BUSINESS RULES 1957
[RULE 3] - PORTAL Reference No:
BUSINESS REGISTRATION EB-A2023041900190

VERIFICATION BY OWNER/PARTNER(S)

NO. NAME IDENTITY CARD NO COLOUR SIGNATURE


1 VISNU A/L THANABALLAN 000117071073 BLUE vedalam17012000@gmail.
com

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