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Membership Registration Form w w w. m p m a . o r g . m y ROC No. Company Name Year of Incorporation Office Address (Postal Address) Telephone Fax URL E-mail Chief Executive Designation Business Contact Designation Annual Sales (RM) Number of Employees Paid-up Capital 1 Own Product Brand Names 2 International Standards Certification Class 3 Export Markets Ordinary Member Signature Company Stamp For Office Use Head Office Particulars Membership No: Approved by: Branch Chairman Date Approved by: President Date 1 Date Applicant Name Notes: 1 Brand names related to plastic products registered under your company 2 Refers to ISO standards aquired and the year it was achieved 3 State clearly the name of the country and NOT CONTINENTS

Ordinary Member - MPMA

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Page 1: Ordinary Member - MPMA

Membership Registration Formw w w . m p m a . o r g . m y

ROC No.

Company Name

Year of Incorporation

Office Address(Postal Address)

Telephone Fax

URL E-mail

Chief Executive Designation

Business Contact Designation

Annual Sales (RM) Number of Employees

Paid-up Capital

1Own Product Brand Names

2International Standards Certification Class

3Export Markets

Ordinary Member

Signature Company Stamp

For Office Use

Head Office Particulars

Membership No:

Approved by:Branch Chairman

Date

Approved by:President

Date

1

Date

Applicant

Name

Notes: 1Brand names related to plastic products registered under your company

2Refers to ISO standards aquired and the year it was achieved

3State clearly the name of the country and NOT CONTINENTS

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Main Production Processes Index

o Blow Moulding

o Calendering

o Compounding

o Compression Moulding

o Film Blowing

o Film Casting

o Foam Moulding

o Hand-Lay Up Method

o Injection Moulding

o Lamination

o Pipe Extrusion

o Profile Extrusion

o Extrusion Palletising (Recycling)

o Thermoforming

o Yarn Extrusion

o High Frequency Welding

o Spray-painting

o Silkscreen-painting

o Pad-printing

o Ultrasonic Welding

o Casting

o Rotational Moulding

o Filament Winding

o Bulk Moulding Compound

o Sheet Moulding Compound

o Others (please specify)

Secondary Process

o Acrylonitrile-butadiene-styrene (ABS)

o Cellulose Acetate (CA)

o Cellulose Propionate (CP)

o Ethylene Vinyl Acetate (EVA)

o Epoxy Resin (EP)

o Expanded Polystyrene (EPS/XPS)

o Melamine Formaldehyde (MF)

o Polyamide – Nylon (PA)

o Polybutene Terephthalate (PBTP)

o Polycarbonate (PC)

o Polyethylene (PE)

o Polyethylene Terephthalate (PET)

o Phenol-formaldehyde (PF)

o Polymethyl Methacrylate (PMMA)

o Polyoxymethylene (POM)

o Polypropylene (PP)

o Polyphenylene Oxide (PPO)

o Polystyrene (PS)

o PUR (PU)

o Polyvinyl Chloride (PVC)

o SAN (AS)

o Urea Formaldehyde (UF)

o Unsaturated Polyester (UP)

o Polytetrafluroethylene (PTFE)

o Polyether sulfone (PES)

o Thermoset Polyester

o Elastomer

o Acrylonitrile/styrene/acrylate (ASA)

o Others (please specify)

Raw Material Used Index

(Please tick in the appropriate box)

Ordinary Member

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3

Ordinary Member

o Agricultural Products

o Artificial Flowers/Plants, Decorative and Related Articles

o Baking Utensils

o Bathroom/Toilet Products, Parts and Accessories

o Children's Items

o Compounds

o Cutlery

o Electrical & Electronic Products, Parts and Accessories

o Footwear

o Furniture and Parts

o Gardening Items

o House Cleaning Utensils and Parts

o Houseware, Kitchenware and Tableware

o Industrial and Construction Products and Parts

o Medical/Pharmaceutical Products and Parts

o Mechanical Products and Parts

o OEM Manufacturing

o Optical Products and Parts

o Packaging (Containers and Bottles)

o Packaging (Films and Bags)

o Packaging (Others)

o Pet Items

o Promotional/Premium Gifts

o Recreational Items

o Recycling

o Stationary Products

o Telecommunication Products, Parts and Accessories

o Textile, Apparel and Bags

o Toiletries/Personal Items

o Toys, Games, Sports Items

o Transportation Products, Parts and Accessories

o Others

Product Listing

Product Category(Please tick your product category)

Product Manufactured(Please write clearly, products manufactured)

Page 4: Ordinary Member - MPMA

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MPMA HEAD OFFICE 37, Jalan 20/14, Paramount Garden, 46300 Petaling Jaya, SelangorTel: 603-7876 3027 Fax: 603-7876 8352 E-mail: [email protected]

MPMA JOHOR BRANCH 2A, Jalan Anggerik 2/4, Taman Anggerik, Skudai, 81300 Johor Bahru, JohorTel: 607-558 6558 Fax: 607-557 5855 E-mail: [email protected]

MPMA PERAK BRANCH 15, Medan Istana 3, Bandar Ipoh Raya, 30000 Ipoh, PerakTel: 605-241 3680 Fax: 605-241 3370 E-mail: [email protected]

MPMA NORTHERN BRANCH Wisma Plastik, 40, Jalan Bagan Satu, 13400 Butterworth, PenangTel: 604-333 3936 Fax: 604-333 3942 E-mail: [email protected]

MPMA SABAH BRANCH c/o Uniang Plastic Industries (Sabah) Sdn Bhd, P.O. Box 13624, 88841 Kota Kinabalu, SabahTel: 6088-423 881 Fax: 6088-423 880 E-mail: [email protected]

MPMA SARAWAK BRANCH c/o Synplastic Industries Sdn Bhd, A48, Lot 2000, Section 66, Jalan Semangat, Pending Industrial Estate, P.O. Box 677, 93714 Kuching, Sarawak Tel: 6082-484 837 Fax: 6082-335 879 E-mail: [email protected]

Membership / Annual Subscription

Eligibility

Any person, firm or company carrying on business in Malaysia as a manufacturer of plastic articles shall be eligible as an ORDINARY member.

Entrance Fee and Subscription

The annual subscription payable by an Ordinary member shall be according to the number of employees, details are as below:

Explanatory Notes

o 20 employees and below RM300.00o 21 to 50 employees RM400.00o 51 to 100 employees RM600.00o 101 to 200 employees RM800.00o 201 employees and above RM1,000.00

Number of Employees Annual Subscription Fee Payable in Advance

Note: Kindly tick as appropriate

Procedure for Application

Application for membership should be made by completing the Membership Registration Form and submitting it to the MPMA Secretariat with a cheque for the total amount of the annual subscription payable to 'MPMA'.

Certified copies of the following documents are to be submitted also:

For Sole Proprietor/Partnership: Forms D & A or D & BFor Incorporated Companies: Forms 24 & 49 or 49, 9 & 13For Non-Malaysian Companies: Forms 79, 80, 83 & 83A

MPMA's Offices

Ordinary Member

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Ordinary Member