FOR REFERENCE ONLY - Hasil

1 FOR REFERENCE only FORM E REMUNERATION FOR THE YEARThe above has virtue of the Gazette Notification dated , you are herebyrequired to complete and submit the enclosed Form are required to:(i) complete this form correctly, carefully and clearly in accordance with the enclosed ExplanatoryNotes. The Explanatory Notes is also available from the website of the Inland RevenueBoard (IRB) of Malaysia.(ii)complete the Form CP 8A/8C for your employees to enable them to fill out and submittheir respective Income Tax Form within the stipulated detach and submit the completed Form E only within the stipulated period to IRB at theabove General of Inland RevenueInland Revenue Board of Malaysia CP 5K FOR REFERENCE only CP 8-Pin.

2 2004 return OF REMUNERATION BY AN EMPLOYERINLAND REVENUE BOARD OF MALAYSIA FormEThis form is prescribed under section 152 Income Tax Act 1967 Name Of Employer1 REFERENCE IdentityCard REFERENCE (use the status code)6 Old IdentityCard A: NUMBER OF EMPLOYEES FOR THE YEAR ENDED 31 DECEMBER 2004A2 Number of employeesunder the STD schemeA3 Number of new employeesA4 Number of employees whoceased employmentA1 Number of employeesPART B: PARTICULARS OF INCOME TAX DEDUCTION UNDER INCOME TAX RULES (DEDUCTION FROM REMUNERATION) (AMENDMENT) 1994 Total gross remuneration ( excluding benefits-in-kind )B1B1 Total gross remuneration subject to Income TaxRules (deduction from remuneration)B2 Total income tax deducted under Income Tax Rules(deduction from remuneration)B3 Total income tax deducted and remitted to IRB of MalaysiaB4 Total zakat deducted and remitted to the Pusat Pungutan ZakatB5 E.

3 REMUNERATION FOR2004,B2,.,B3,,,B4,,.,B5 -Registration Company/Co-Operative Society8--03 = D05 = J06 = F07 = TP08 = TA 09 = TC10 = CS01 = SG02 = OG04 = C-( )3,,.,,,.-1----For Office Use only FOR REFERENCE only PART D: PARTICULARS OF EMPLOYERD2 Telephone AddressD3e-mailPART E:DECLARATIONI, Card No. / Passport No. /Police No. / Army No.*hereby declare that the information given in this form is true, correct and complete in accordance with the requirements of theIncome Tax Act : Day Month Year Signature* Delete whichever is not relevant Date received Date processed Status of assessmentFor Office Use OnlyC1 Has any employee ceased employment and left Malaysia?C2 Has the cessation been reported to IRB of Malaysia?(If C1 = 1)1 = Yes 2 = No1 = Yes 2 = No-PART C: PARTICULARS OF FOREIGN LEAVERS FOR REFERENCE only REMUNERATION FOR YEAR2004 SELF ASSESSMENT SYSTEMINLAND REVENUE BOARD OF MALAYSIA FORM EEXPLANATORY NOTESRETURN OF REMUNERATION BY AN EMPLOYER FOR REFERENCE only Form E Explanatory NotesSelf Assessment SystemBASIC INFORMATIONItemSubjectExplanation1 Name Of EmployerName of employer as registered with the Companies Commission ofMalaysia (CCM).

4 For an individual who is not registered with CCM, fill inthe name as per identity No. EEmployer's REFERENCE : E 1234567-083 StatusStatus codes for employers are as follows:-CodeStatus01 Government02 Government (computerised)03 Statutory04 Statutory (computerised)05 Private06 Private (computerised)07 Public Education Centre08 Public Education Centre (computerised)09 Private Education Centre10 Private Education Centre (computerised)11 Army4 Tax REFERENCE 's income tax REFERENCE "01" for SG/ "02" for OG/ "03" for Partnership/ "04" for Company/TP/TA/TC/CS"05" for Hindu Joint Family/ "06" for Association/ "07" for DeceasedPerson's Estate/ "08" for Trust Body/ "09" for Unit/Real Property Trust/"10" for Co-Operative Society. Subsequently, fill in the REFERENCE numberin the boxes Identity Card identity card number of the company director/precedent partner/sole Identity Card identity card number of the company director/precedent number of the company director/precedent No.

5 OfNumber as registered with the Companies Commission of Co-OperativeSociety1 FOR REFERENCE only PART A:NUMBER OF EMPLOYEES FOR THE YEAR ENDED 31 DECEMBER 2004 ItemSubjectExplanationA1 Number of employeesTotal number of employees in your of employeesTotal number of employees subject to the Schedular Tax Deductionunder the STD schemescheme (STD).A3 Number of newTotal number of employees who commenced employment in of employeesTotal number of employees who ceased employment in the basis ceased employmentPART B:PARTICULARS OF INCOME TAX DEDUCTION UNDER INCOME TAX RULES(DEDUCTION FROM REMUNERATION) (AMENDMENT) 1994 ItemSubjectExplanationB1 Total grossTotal gross amount of remuneration paid to employees excluding benefit-remunerationin-kind and the benefit/value of accomodation grossTotal gross amount of remuneration paid to employees who are subjectedremuneration subjectto the Schedular Tax Deduction scheme (STD).

6 To Income Tax Rules(deduction fromremuneration)B3 Total income taxTotal amount of income tax deducted in accordance with the Income Taxdeducted underRules for Schedular Tax Deduction (STD) Tax Rules(deduction fromremuneration)B4 Total income taxTotal amount of income tax deducted and remitted to IRB of and remittedto IRB of MalaysiaB5 Total zakat deductedTotal amount of zakat deducted and remitted to the Pusat Pungutanand remitted to Pungutan Zakat2 Form E Explanatory NotesSelf Assessment System FOR REFERENCE only PART C: PARTICULARS OF FOREIGN LEAVERSItemSubjectExplanationC1 Has any employeeEnter "1" if any employee has ceased employment and left Malaysia inceased employmentthe basis period or "2" if left Malaysia?C2 Has the cessation beenFill in "1" if the cessation has been reported to IRB of to IRB ofEnter "2" if not reported and contact the IRB branch handling yourMalaysia?employee's income tax item need not be filled if not D: PARTICULARS OF EMPLOYERItemSubjectExplanationD1 CorrespondenceAddress to be used for any correspondence with IRB of telephone address (if any).

7 PART E: DECLARATIONIf the form is not affirmed and duly signed, it shall be deemed incomplete and returned to will be imposed in case of late resubmission of the form to IRB of E Explanatory NotesSelf Assessment System