Membership Registration - Contractor / MNC / Test Centre

Company Information * denotes compulsory field.
Corporate Type: *	ContractorIndustry MNCTest Center
Corporate Name: *
Address:
Postal Code:
Country:
Ownership:
Principal Activities:	Plant ConstructionPlant MaintenanceProcess Design Building ConstructionEquipment InstallationShop Fabrication Others
Contractor Role:	Turnkey ContractorMain ContractorSub Contractor
Primos Usage:
Company Strength: (total numbers of management staff, foreign and local workers)
Number of Management Staff:
Number of Foreign Workers:
Number of Local Workers:
Membership No. (Authorities/Societies):
Membership Expiry Date (Authorities/Societies):
Petronas License No.:
Petronas License Expiry Date.:

Administrator Information
Name:
Designation:
Phone No.:
Extension No.:
Fax No.:
Mobile No.:
Email Address: *

I agree to the terms and conditions.