LEMBAGA HASIL DALAM NEGERI MALAYSIA …

1 1 borang PENDAFTARAN REGISTRATION FORM FAIL cukai pendapatan syarikat CORPORATE INCOME TAX FILE LEMBAGA HASIL DALAM NEGERI MALAYSIA INLAND REVENUE BOARD OF MALAYSIA BAHAGIAN A / PART A MAKLUMAT syarikat / PARTICULARS OF COMPANY A1 Nama syarikat Name of Company A2 Negara Mastautin Country of Residence A3 No. Pendaftaran syarikat Company Registration No. A4 Tarikh syarikat Ditubuhkan Date of Company A5 Tarikh Mula Operasi Date of Commence A6 Tarikh Mula Akaun Opening Date of Accounts Tarikh Tutup Akaun Closing Date of Accounts A7 Jenis Perniagaan Type of Business A8 Alamat Surat Menyurat Correspondence Address Poskod Postcode Bandar Town NEGERI State A9 Alamat Premis Perniagaan Address of Business Premise Poskod Postcode Bandar Town NEGERI State A10 Alamat Berdaftar Registered Address Poskod Postcode Bandar Town NEGERI State A11 No Telefon Telephone No A12 e-Mel e-Mail BAHAGIAN B / PART B MAKLUMAT PENGARAH / PARTICULARS OF DIRECTOR B1 Nama Name B2 No.

2 Pengenalan Identification No. (No. Kad Pengenalan / Polis / Tentera) / (Identity Card / Police / Army No.) B3 No. Pasport Passport No. B4 Nama Name B5 No. Pengenalan Identification No. (No. Kad Pengenalan / Polis / Tentera) / (Identity Card / Police / Army No.) B6 No. Pasport Passport No. B7 Nama Name B8 No. Pengenalan Identification No. (No. Kad Pengenalan / Polis / Tentera) / (Identity Card / Police / Army No.) B9 No. Pasport Passport No. CP 600C 2 dengan ini mengakui bahawa maklumat yang diberikan di DALAM borang ini adalah benar, betul dan lengkap. hereby declare that the information given in this form is true, correct & complete. Tandatangan Signature BAHAGIAN C / PART C PENDAFTARAN FAIL MAJIKAN / FILE REGISTRATION FOR EMPLOYER C1 Status Majikan * Employer Status C2 Jumlah Pekerja No.

3 Of Employees C3 Bilangan Pekerja Terima pendapatan Tahunan No of Employees Whose Annual Gross Remuneration is : (a) Kurang daripada RM30,000 Less than RM30,000 (b) Melebihi RM30,000 More than RM30,000 MAKLUMAT FIRMA EJEN cukai / PARTICULARS OF TAX AGENT D1 Nama Firma Name of Firm D2 Alamat Firma Address of Firm Poskod Postcode Bandar City NEGERI State D3 Telephone No. D4 No. Kelulusan Ejen cukai Tax Agent s Approval No. D5 e-Mel e-Mail AKUAN (PENGARAH/EJEN cukai /SETIAUSAHA syarikat ) DECLARATION (DIRECTOR/TAX AGENT/CO. SECRETARY) Saya I No. Pengenalan/Pasport Identification / Passport No. (*Potong yang tidak berkenaan) (*Delete whichever is not relevant) Tarikh Date Jawatan Designation * Ruangan C1: Status Majikan * Column C1 : Employer Status Kerajaan Government Berkanun Statutory Swasta Private Pusat Pengajian Kerajaan Public Education Centre Kerajaan Berkomputer Government (Computerised) Berkanun Berkomputer Statutory (Computerised) Swasta Berkomputer Private (Computerised) Pusat Pengajian Kerajaan Berkomputer Public Education Centre (Computerised) Pusat Pengajian Swasta Private Education Centre Pusat Pengajian Swasta Berkomputer Private Education Centre (Computerised) Tentera Army UNTUK KEGUNAAN PEJABAT No.

4 cukai pendapatan C No. Majikan E Kod Perniagaan Utama (Rujuk Ruangan A7) SILA KEMUKAKAN / PLEASE SUBMIT : i) syarikat Sdn. Bhd. a) borang 9 Perakuan pemerbadanan syarikat sendirian Pte. Ltd. Company Form 9 Certificate of incorporation of private company b) borang 49 Daftar Pengarah, Pengurus & Setiausaha dan Perubahan Maklumat Form 49 Return giving particulars in register of directors, managers and secretaries and changes of particulars ii) syarikat Berhad a) borang 8 Perakuan pemerbadanan syarikat awam yang telah disahkan Limited Company Form 8 Certifiacte of incorporation of public company b) borang 49 Daftar Pengarah, Pengurus & Setiausaha dan Perubahan Maklumat Form 49 Return giving particulars in register of directors, managers and secretaries and changes of particulars iii) syarikat Tidak a)

5 borang 83 Sijil Pendaftaran syarikat Asing Mastautin Form 83 Certificate of registration of foreign company Non-resident Company b) borang 79 Senarai & Butir-butir Pengarah syarikat Asing Form 79 Return by foreign company giving particulars of directors and changes of particulars